Individual
SHELLY ROUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9220 FOREST HILL AVE STE A4, RICHMOND, VA 23235-6800
(804) 272-6004
Mailing address
9220 FOREST HILL AVE STE A4, RICHMOND, VA 23235-6800
(804) 272-6004
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2101002225
VA
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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