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Individual

SETH SHALTES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10800 MIDLOTHIAN TPKE STE 207, 1 SAINT FRANCIS WAY, NORTH CHESTERFIELD, VA 23235-4724
(804) 594-2622
Mailing address
10800 MIDLOTHIAN TPKE STE 207, 1 SAINT FRANCIS WAY, NORTH CHESTERFIELD, VA 23235-4724

Taxonomy

Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN633345
PA

Other

Enumeration date
06/09/2017
Last updated
06/15/2021
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