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Individual

CHANTRISE N RATLIFF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
15 PENNINGTON AVE, NEWPORT NEWS, VA 23606-2631
(757) 513-0788
Mailing address
553 JESSICA CIR, NEWPORT NEWS, VA 23606-3761
(757) 513-0788

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
8203
VA
172A00000X
Driver
VA
373H00000X
Day Training/Habilitation Specialist
Primary
8203
VA

Other

Enumeration date
09/29/2020
Last updated
08/30/2025
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