Individual
SHANTELLE DENISE JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1204 73RD ST, NEWPORT NEWS, VA 23605-1816
(757) 696-9599
Mailing address
1204 73RD ST, NEWPORT NEWS, VA 23605-1816
(757) 696-9599
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
04/16/2021
Last updated
04/16/2021
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