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Individual

MS. SHAMEIKA SHANEA YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1258 HOLLAND RD, SUFFOLK, VA 23434-6313
(866) 866-9277
Mailing address
2606 WOOD CREEK CT APT 101, SUFFOLK, VA 23434-4257
(757) 401-0740

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002079311
VA

Other

Enumeration date
11/25/2019
Last updated
11/25/2019
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