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1053149211
SHINING STAR PSYCHIATRIC CARE LLC
RICHMOND, VA
NPI
1053149211
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Entity Type
Organization
Authorized Contact
MELITA WILSON-PRIMUS
Pmhnp
940-249-0272
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-22
Last Update Date
2024-11-20
Business Address
SHINING STAR PSYCHIATRIC CARE LLC
2807 N PARHAM RD STE 311
RICHMOND, VA 23294-4410
Phone number: 940-249-0272
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Mailing Address
SHINING STAR PSYCHIATRIC CARE LLC
3911 OLD BROOK RD
RICHMOND, VA 23227-4205
Phone number:
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