Individual
SANDRA SHONGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
N.P.
Contact information
Practice address
1240 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(800) 223-9173
(434) 243-0064
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0024170916
VA
Other
Enumeration date
07/31/2013
Last updated
06/06/2014
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