Shantella Rios
Shantella Rios is a Prosthetic/Orthotic Supplier in South Orange, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
12 Academy StSouth Orange, NJ 07079-1906
Phone: (347) 933-4122
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1013539550 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | May 6, 2020 |
| Last updated in NPPES | May 6, 2020 |
| Certification date | May 6, 2020 |
| Mailing address | 357 Hawthorne Ave Fl 2, Newark, NJ 07112-1609 |
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