Individual
RONSHETA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
962 NORFOLK SQ, NORFOLK, VA 23502-3235
(757) 461-0501
Mailing address
8917 CHESAPEAKE BLVD, APT F, NORFOLK, VA 23503-3784
(757) 582-8167
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002081494
VA
Other
Enumeration date
11/29/2012
Last updated
11/29/2012
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