Individual
DR. PATRICIA ANNE SHUSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
614 17TH ST NW, WASHINGTON, DC 20006-4802
(202) 298-6878
(202) 347-7180
Mailing address
614 17TH ST NW, WASHINGTON, DC 20006-4802
(202) 298-6878
(202) 347-7180
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0601-001171
VA
152W00000X
Optometrist
Primary
OP564
DC
152W00000X
Optometrist
TA0830
MD
Other
Enumeration date
07/02/2006
Last updated
07/08/2007
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