Most Relevant Information
Provider Data
| NPI Number: | 1003543216 |
| Provider Name: | SHELLEY LAVONNE RHODES |
| Entity Type: | Individual |
| Taxonomy Code: | 3747P1801X |
| Specialty: | Technician |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/07/2022 |
| Last Updated: | 08/07/2022 |
Provider Practice Location
420 W ST NW APT 31
WASHINGTON
DC
200012342
Practice Location Phone/Fax
| Phone: | 2027040630 |
| Fax: |
Provider Mailing Location
420 W ST NW APT 31
WASHINGTON
DC
200012342
Provider Mailing Phone/Fax
| Phone: | 2027040630 |
| Fax: |