Individual
SHAMIKA MELTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6316 OAK MIDDLE CT APT 304, RICHMOND, VA 23231-4870
(804) 972-6412
Mailing address
6316 OAK MIDDLE CT APT 304, RICHMOND, VA 23231-4870
(804) 972-6412
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82-1639706
—
VA
Enumeration date
10/21/2019
Last updated
10/21/2019
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