Provider Demographics
NPI:1245897628
Name:BIDIAS, SERAPHINE SOLANGE
Entity type:Individual
Prefix:
First Name:SERAPHINE
Middle Name:SOLANGE
Last Name:BIDIAS
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 1:1817 MCDOWELL RD
Mailing Address - Street 2:
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23518-5429
Mailing Address - Country:US
Mailing Address - Phone:757-652-5142
Mailing Address - Fax:757-337-6688
Practice Address - Street 1:1817 MCDOWELL RD
Practice Address - Street 2:
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23518-5429
Practice Address - Country:US
Practice Address - Phone:757-652-5142
Practice Address - Fax:757-337-6688
Is Sole Proprietor?:Yes
Enumeration Date:2019-05-21
Last Update Date:2019-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VAVHT1387347C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347C00000XTransportation ServicesPrivate Vehicle