Individual
SHAMARA WALTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1314 N 27TH ST, RICHMOND, VA 23223-5306
(804) 517-7006
Mailing address
1314 N 27TH ST, RICHMOND, VA 23223-5306
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001250962
VA
Other
Enumeration date
04/05/2016
Last updated
04/05/2016
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