Individual
SHANTHI RONDOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AGPNP
Contact information
Practice address
110 CHALMERS CT, BERRYVILLE, VA 22611-1347
(540) 955-9995
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
0024175303
VA
Other
Enumeration date
03/16/2018
Last updated
12/04/2018
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