Individual
SHANIKA K MAYO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1309 JAMESTOWN RD STE 102, WILLIAMSBURG, VA 23185-3380
(757) 585-3441
Mailing address
8663 MILLSTREAM DR, RICHMOND, VA 23228-1795
(804) 852-9295
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
994692
VA
Other
Enumeration date
06/10/2019
Last updated
06/10/2019
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