Jefferson, Shanita Leanna

Jefferson, Shanita Leanna is an individual health care provider with primary practice located at 3600 W Broad St , Richmond VA 23230-4915. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist, which is considered as her primary health care specialty. Jefferson, Shanita Leanna can be contacted via phone (804) 585-6723.

Contact Information

Primary practice address
3600 W Broad St Richmond VA 23230-4915
Phone: (804) 585-6723
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Clinical Exercise Physiologist 224Y00000X Indiana

Profile Details

NPI number 1407310337
LBN Legal business name Jefferson, Shanita Leanna
Credentials R.K.T.
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2019
Last updated Jul 14th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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