Individual
SHANTE L FOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 MOUNTAINBERRY CT, GLEN ALLEN, VA 23060-2264
(804) 334-2513
Mailing address
2601 MOUNTAINBERRY CT, GLEN ALLEN, VA 23060-2264
(804) 334-2513
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/09/2018
Last updated
05/09/2018
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