Individual
SHANTANITA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
809 PROFESSIONAL PL W STE A103, CHESAPEAKE, VA 23320-3632
(757) 401-9871
(757) 410-4210
Mailing address
3400 BANGOR CT, CHESAPEAKE, VA 23321-4404
(757) 401-9871
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/04/2018
Last updated
07/04/2018
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