Individual
SHWETA MANKAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5388 TWIN HICKORY RD, GLEN ALLEN, VA 23059-5682
(804) 396-6753
Mailing address
8600 EVERSHAM RD, RICHMOND, VA 23294-5121
(804) 396-6753
Taxonomy
Speciality
Code
Description
License number
State
283X00000X
Rehabilitation Hospital
Primary
2305210699
VA
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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