Individual
MRS. SHELLEY SMITH GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
114 E 14TH ST, RICHMOND, VA 23224-3931
(804) 233-1543
Mailing address
114 E 14TH ST, RICHMOND, VA 23224-3931
(804) 233-1543
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002065413
VA
Other
Enumeration date
05/05/2008
Last updated
05/05/2008
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