Individual
SHAVONNAH UPCHURCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
(571) 662-1062
(571) 290-2944
Mailing address
PO BOX 952, GAINESVILLE, VA 20156-0952
(678) 468-7009
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001225072
VA
Other
Enumeration date
07/06/2020
Last updated
07/06/2020
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