Individual
SHENEKA YVONNE LANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2208 AFTON AVE, RICHMOND, VA 23224-8104
(804) 496-9828
Mailing address
2208 AFTON AVE, RICHMOND, VA 23224-8104
(804) 496-9828
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
1401150248
VA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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