Individual
SHANTELLE MARIE HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
250 GREGORY AVE, CHASE CITY, VA 23924-1840
(434) 321-9474
Mailing address
250 GREGORY AVE, CHASE CITY, VA 23924-1840
(434) 321-9474
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
Other
Enumeration date
08/23/2019
Last updated
12/08/2019
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