Individual
SHANIKA HARRIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1501 LAKESIDE DRIVE, LYNCHBURG, VA 24501
(804) 437-4183
Mailing address
380 OASIS WAY, LYNCHBURG, VA 24502
(804) 437-4183
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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