SHANTE TEQUILA WILLIAMS

SUFFOLK, VA
NPI1568000412
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: VA  0002079361)
Enumeration Date2019-12-11
Last Update Date2019-12-11
Business Address
Ms. SHANTE TEQUILA WILLIAMS Lpn
1258 HOLLAND RD
SUFFOLK, VA 23434-6313
Phone number: 757-809-4771
Mailing Address
Ms. SHANTE TEQUILA WILLIAMS Lpn
619 RAILROAD AVE
SUFFOLK, VA 23434-3923
Phone number: 757-537-1004
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