Individual
SHAUNTEL LATRYCE DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1885 TERRIER AVE, VIRGINIA BEACH, VA 23461-2203
(757) 953-9902
(757) 953-9908
Mailing address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(800) 465-3203
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0007328
MD
Other
Enumeration date
10/17/2018
Last updated
07/15/2025
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