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Organization

VIRGINIA PROFESSIONAL HEARING HEALTHCARE CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTELL D LEWIS (OWNER)
(804) 330-1350
Entity
Organization

Contact information

Practice address
620 MOOREFIELD PARK DR, SUITE 100, RICHMOND, VA 23236
(804) 330-1350
Mailing address
620 MOOREFIELD PARK DR, SUITE 100, RICHMOND, VA 23236-3692
(804) 330-1350

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary

Other

Enumeration date
04/04/2011
Last updated
04/04/2011
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