SearchVirginia367500000X

Dorothy Shackleford

NPI 1003888447 · on the registry since 2006

Practice

Address
3963 Hartlake St
Woodbridge, VA 22192
Phone
(703) 590-2019

Registry record

Primary taxonomy
367500000X
367500000X
Also registered as
367500000X
Licence states on file
CA, VA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2015-04-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia