Individual
MS. KEYONICA SHONTEL LASSITER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, BSN
Contact information
Practice address
7700 ARLINGTON BLVD, FALLS CHURCH, VA 22042-2929
(703) 681-4353
Mailing address
1113 GATEWAY PARK CT, DISTRICT HEIGHTS, MD 20747-1788
(703) 681-4353
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
244499
NC
Other
Enumeration date
06/09/2026
Last updated
06/09/2026
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