Individual
SHANTE DELOATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
601 HILLPOINT BLVD APT 713, SUFFOLK, VA 23434-8194
(434) 632-9186
Mailing address
601 HILLPOINT BLVD APT 713, SUFFOLK, VA 23434-8194
(434) 632-9186
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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