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Organization
SHAVONTE'S PERSONAL TOUCH NURSING SERVICES LLC
Active
Organization
SHAVONTE'S PERSONAL TOUCH NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONTE DANIELLE CHESTNUT L.P.N (SOLE PROPRIETOR)
(804) 833-4655
Entity
Organization
Contact information
Practice address
3303 E BROAD ROCK RD, RICHMOND, VA 23224-3503
(804) 833-4655
Mailing address
3303 E BROAD ROCK ROAD, RICHMOND, VA 23224
(804) 833-4655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002075539
VA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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