NPI 1013539550
Shantella Rios
Practice location
- Address
- 12 Academy St, South Orange, NJ 07079-1906
- Phone
- (347) 933-4122
- Mailing address
- 357 Hawthorne Ave Fl 2, Newark, NJ 07112-1609
Registered specialties
Prosthetic/Orthotic Supplier
Primary
Registry record
- NPI
- 1013539550
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 May 2020
- Record last updated
- 6 May 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.