Individual
SHAMIKA HARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24275 S CONSTITUTION RTE, DILLWYN, VA 23936
(434) 305-5763
Mailing address
24275 S CONSTITUTION RTE, DILLWYN, VA 23936
(434) 305-5763
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/26/2021
Last updated
07/26/2021
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