Search › Virginia › 106S00000X
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, PcInferred 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