Randa Shakashiro

NPI 1154599439 · on the registry since 2008

Practice

Address: 12701 Marblestone Dr
260
Woodbridge, VA 22192
Phone: (703) 670-2114
Fax: (703) 670-2934
Organisation at this address: Su-En C Thlick, Dmd
Dulima Medical Services Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 14

Registry record

Primary taxonomy: 122300000X
122300000X
Licence states on file: VA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2008-02-20

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