Individual
JENNIFER SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3523 JACKSON FARM RD, HOPEWELL, VA 23860-4004
(804) 536-5012
Mailing address
3523 JACKSON FARM RD, HOPEWELL, VA 23860-4004
(804) 536-5012
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
VA
Other
Enumeration date
10/04/2019
Last updated
10/04/2019
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