Individual
SHEVONNE NEWBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
543 BROWNSVIEW LN, SURRY, VA 23883-2720
(757) 650-5385
Mailing address
543 BROWNSVIEW LN, SURRY, VA 23883-2720
(757) 522-0637
Taxonomy
Speciality
Code
Description
License number
State
347C00000X
Private Vehicle
Primary
727128
VA
347C00000X
Private Vehicle
XDF2116
VA
Other
Enumeration date
09/16/2016
Last updated
09/16/2016
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