Individual
MR. SHELLIE LINDBERGH RANKIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1402 NEWBY RD, PORTSMOUTH, VA 23701-3130
(757) 349-3451
Mailing address
1402 NEWBY RD, PORTSMOUTH, VA 23701-3130
(757) 349-3451
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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