Individual
SHONITA HAMPTON-BANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
215 BEAZLEY DR, PORTSMOUTH, VA 23701-4303
(757) 295-6704
Mailing address
215 BEAZLEY DR, PORTSMOUTH, VA 23701-4303
(757) 295-6704
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
001188800
VA
Other
Enumeration date
07/14/2015
Last updated
07/14/2015
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