Dorothy Lorraine Shackleford

NPI #1003888447 in Woodbridge, Virginia

Provider Information

NPI Number
1003888447
Entity Type
Individual
Name
Dorothy Lorraine Shackleford
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Feb 1, 2006
Last Updated
Apr 23, 2015

Practice Location

Address
3963 HARTLAKE ST
ZIP Code
22192-7477
Phone
(703) 590-2019

Specialties & Taxonomy Codes

Specialty
Nurse Anesthetist, Certified Registered

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