Individual
DR. NICOLE VO SHASTRI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D
Contact information
Practice address
3118 DONNELL DR, FORESTVILLE, MD 20747-3203
(301) 735-5600
Mailing address
3118 DONNELL DR, FORESTVILLE, MD 20747-3203
(301) 735-5600
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TA2348
MD
Other
Enumeration date
06/10/2013
Last updated
06/23/2015
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