SHAHAUNA LATIA MALLERY

CHESAPEAKE, VA
NPI1861199184
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA  0024186470)
Enumeration Date2023-02-08
Last Update Date2024-06-25
Business Address
SHAHAUNA LATIA MALLERY PMHNP-BC
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322-5233
Phone number: 757-330-2491
Mailing Address
SHAHAUNA LATIA MALLERY PMHNP-BC
238 BATTLEFIELD BLVD S STE 200
CHESAPEAKE, VA 23322-5233
Phone number: 757-330-2491
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