Individual
MS. SHAKORA ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11738 ROBINSON FERRY RD, BRODNAX, VA 23920-3203
(804) 929-1906
Mailing address
11738 ROBINSON FERRY RD, BRODNAX, VA 23920-3203
(804) 929-1906
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
Other
Enumeration date
07/29/2017
Last updated
07/29/2017
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