Individual
SHKIA JUMEA GRANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. CCC-SLP
Contact information
Practice address
1227 DAMYIEN ARCH, CHESAPEAKE, VA 23320-5161
(757) 270-3869
Mailing address
1227 DAMYIEN ARCH, CHESAPEAKE, VA 23320-5161
(757) 270-3869
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202006508
VA
Other
Enumeration date
03/07/2012
Last updated
03/07/2012
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