Shantella Rios
NPI #1013539550 in South Orange, New Jersey
Provider Information
- NPI Number
- 1013539550
- Entity Type
- Individual
- Name
- Shantella Rios
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- May 6, 2020
- Last Updated
- May 6, 2020
Practice Location
- Address
- 12 ACADEMY ST
- City
- South Orange
- State
- New Jersey
- ZIP Code
- 07079-1906
- Phone
- (347) 933-4122
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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