Individual
MS. SHANI GABRIELLE LEE-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
20 W BANK ST, SUITE 1, PETERSBURG, VA 23803-3279
(804) 862-8002
Mailing address
20 W BANK ST, SUITE 1, PETERSBURG, VA 23803-3279
(804) 862-8002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001232430
VA
Other
Enumeration date
08/05/2014
Last updated
08/05/2014
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