Individual
CHANDRA SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
827 LINDEN AVE, BALTIMORE, MD 21201-4606
(410) 225-8000
Mailing address
11851 MONUMENT DR APT 208, FAIRFAX, VA 22030-8726
(770) 616-9111
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
0001294677
VA
Other
Enumeration date
11/09/2021
Last updated
11/09/2021
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