Individual
SHAWNA DEWITT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPM
Contact information
Practice address
3620 BUCKEYSTOWN PIKE, BUCKEYSTOWN, MD 21717-1001
(240) 341-4974
Mailing address
11661 HARPERS FERRY RD, PURCELLVILLE, VA 20132-1944
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
0129000129
VA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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