Organization
SHAVONTE'S PERSONAL TOUCH NURSING SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONTE DANIELLE CHESTNUT L.P.N (SOLE PROPRIETOR)
(804) 833-4655
Entity
Organization
Contact information
Practice address
3303 E BROAD ROCK RD, RICHMOND, VA 23224-3503
(804) 833-4655
Mailing address
3303 E BROAD ROCK ROAD, RICHMOND, VA 23224
(804) 833-4655
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002075539
VA
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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