DANECA SHONTAYE HAGGARD

EMPORIA, VA
NPI1962978171
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: VA  0024176998)
Enumeration Date2018-10-16
Last Update Date2018-12-02
Business Address
DANECA SHONTAYE HAGGARD Nurse Practitioner
510 N MAIN ST
EMPORIA, VA 23847-1236
Phone number: 434-634-7723
Mailing Address
DANECA SHONTAYE HAGGARD Nurse Practitioner
PO BOX 70 1508 KV ROAD
VICTORIA, VA 23974-0070
Phone number: 434-696-2165