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Shavon Cooke
NPI 1780391284 · on the registry since 2022 · sole proprietor
Practice
- Address
- 168 Williams St
Portsmouth, VA 23704 - Phone
- (757) 759-1619
Registry record
- Primary taxonomy
- 2083T0002X
2083T0002X
- Also registered as
- 247200000X
202K00000X - Licence states on file
- VA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-01-12
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