Individual
MISS SHAVONNE KATYA DUKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
301 RIVERVIEW AVE STE 202, NORFOLK, VA 23510-1065
(757) 252-9140
Mailing address
1815 BELLEVUE AVE, NORFOLK, VA 23509-1105
(757) 613-5441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006236
VA
Other
Enumeration date
06/27/2018
Last updated
06/27/2018
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