Individual
MS. SHANEAKA LATISHA PRICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CERT. HAIR LOSS SPEC
Contact information
Practice address
481B S LYNNHAVEN RD, VIRGINIA BEACH, VA 23452-6600
(757) 431-0961
Mailing address
645 HUSTINGS COURT LN, VIRGINIA BEACH, VA 23452-2842
(757) 560-0873
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1204018546
VA
224P00000X
Prosthetist
1204018546
VA
Other
Enumeration date
05/25/2010
Last updated
03/07/2016
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