Shalonda Tenille Carson

NPI #1326607821 in Locust Grove, Virginia

Provider Information

NPI Number: 1326607821
Entity Type: Individual
Name: Shalonda Tenille Carson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Driver
Enumeration Date: Jun 7, 2019
Last Updated: Jun 7, 2019

Practice Location

Address: 2042 MOURNING DOVE DR
City: Locust Grove
State: Virginia
ZIP Code: 22508-3118
Phone: (571) 230-7945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Driver	172A00000X	Primary

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