Individual
MRS. SHANTITA PROSISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3906 BEULAH RD, NORTH CHESTERFIELD, VA 23237-1456
(804) 937-0651
(804) 937-0651
Mailing address
7803 MILL RIVER CT, CHESTERFIELD, VA 23832-9238
(804) 937-0651
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
12001-08-011
VA
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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