Individual
SHENNEL GORDON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13176 JEFFERSON AVE STE C, NEWPORT NEWS, VA 23608-1322
(757) 585-4365
Mailing address
13176 JEFFERSON AVE STE C, NEWPORT NEWS, VA 23608-1322
(757) 585-4365
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
11/06/2024
Last updated
05/20/2026
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