Individual
SHANEE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8503 PATTERSON AVE STE F, RICHMOND, VA 23229-6442
(804) 740-1110
Mailing address
3540 PUMP RD STE 1245, RICHMOND, VA 23233-1115
(804) 925-8133
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
0019018993
VA
374J00000X
Doula
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003566274
—
VA
Enumeration date
03/28/2022
Last updated
10/19/2023
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