SearchVirginia106S00000X

Shonetta Russell

NPI 1437665254 · on the registry since 2017 · sole proprietor

Practice

Address
4016 Raintree Rd Ste 200a
Chesapeake, VA 23321
Phone
(757) 465-3933
Organisation at this address
Creative Images
Catherine Zydlewski
American Home Healthcare
Mea'Alofa Autism Support Center
Tidewater Therapy For Children, Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
56

Registry record

Primary taxonomy
106S00000X
106S00000X
Licence states on file
VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-12-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia