Individual
SHANTELLE GREGORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
84 SOUTHGATE SQ, COLONIAL HEIGHTS, VA 23834-3611
(804) 324-6822
Mailing address
84 SOUTHGATE SQ, COLONIAL HEIGHTS, VA 23834-3611
(804) 324-6822
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
6271997578SG
VA
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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