Individual
MRS. ALISHA M SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
113 LIBERTY AVE, RICHMOND, VA 23223-3417
(804) 328-1566
Mailing address
113 LIBERTY AVE, RICHMOND, VA 23223-3417
(804) 328-1566
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002075965
VA
Other
Enumeration date
04/18/2011
Last updated
04/18/2011
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