Individual
MISS SHADAE PETER-GAY JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6231 BURBAGE ACRES DR, SUFFOLK, VA 23435-3055
(757) 917-0132
Mailing address
6231 BURBAGE ACRES DR, SUFFOLK, VA 23435-3055
(757) 917-0132
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
0230036305
VA
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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