Provider Demographics
NPI:1902232697
Name:HARGROVE, ASHARNA YOLANDA
Entity Type:Individual
Prefix:
First Name:ASHARNA
Middle Name:YOLANDA
Last Name:HARGROVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 TAMARISK QUAY
Mailing Address - Street 2:G
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666
Mailing Address - Country:US
Mailing Address - Phone:757-816-8463
Mailing Address - Fax:757-788-8775
Practice Address - Street 1:2 TAMARISK QUAY
Practice Address - Street 2:G
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-7007
Practice Address - Country:US
Practice Address - Phone:757-816-8463
Practice Address - Fax:757-788-8775
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-25
Last Update Date:2013-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171WH0202XOther Service ProvidersContractorHome Modifications