Individual
SHAKITA QUAMILEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
473 RUDDER RD, VIRGINIA BEACH, VA 23454-4826
(757) 343-9512
Mailing address
473 RUDDER RD, VIRGINIA BEACH, VA 23454-4826
(757) 343-9512
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
11392805
VA
Other
Enumeration date
06/07/2022
Last updated
08/10/2022
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