Individual
MRS. SHWANDA DAVIS SPARROW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 FREDERICK CT, CHESAPEAKE, VA 23321-1962
(757) 717-4504
Mailing address
1805 FREDERICK CT, CHESAPEAKE, VA 23321-1962
(757) 717-4504
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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