Shawntessa Marie Dejesus ATC

NPI 1457538530 - Specialist/Technologist - 2255A2300X

NPI Details
NPI 1457538530
Gender Female
Enumeration Date 01/30/2008
Last Updated 01/30/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
500 HIOAKS RD
RICHMOND VA, 23225-4061, US
Phone (804) 560-6500
Fax
Business Location
500 HIOAKS RD
RICHMOND VA, 23225-4061, US
Phone (804) 560-6500
Fax
Toxanomy
Taxonomy Code 2255A2300X
License State Virginia
License Number 0126001239
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According to our database, Shawntessa Marie Dejesus ATC NPI is 1457538530, taxonomy code is 2255A2300X and license number is 0126001239, license state is located at Virginia. Shawntessa Marie Dejesus ATC physically located at 500 Hioaks Rd, Richmond VA, 23225-4061. NPI Number Shawntessa Marie Dejesus ATC has the Individual type.

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1457538530 NPI number is provided on an as is basis without warranty of any kind. 1457538530 is maintained by the National Plan & Provider Enumeration System. The contents of Shawntessa Marie Dejesus ATC are for informational purposes only.