Individual
ASHANTI WHITFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
21101 DEODORA DR, SOUTH CHESTERFIELD, VA 23803-2224
(804) 721-8963
Mailing address
21101 DEODORA DR, SOUTH CHESTERFIELD, VA 23803-2224
(804) 721-8963
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0795980546
—
VA
Enumeration date
03/07/2019
Last updated
03/07/2019
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