Individual
SHANIQUA DICKENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
154 HAVERFORD CT, HAMPTON, VA 23666-5759
(757) 593-1711
Mailing address
154 HAVERFORD CT, HAMPTON, VA 23666-5759
(757) 593-1711
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
0001319401
VA
Other
Enumeration date
11/06/2024
Last updated
12/11/2024
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