Individual
MRS. MONTERRY SHATRAE LEE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5 HOLLY HILL DR, PETERSBURG, VA 23805-2559
(804) 605-1566
(804) 835-9678
Mailing address
542 LOCK LN, PETERSBURG, VA 23805-2543
(804) 605-1566
(804) 835-9678
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
1201110397
VA
Other
Enumeration date
08/31/2020
Last updated
08/31/2020
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