Individual
RAYMOND SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
1100 W PATRICK ST, FREDERICK, MD 21703-3902
(301) 662-6478
Mailing address
7402 SKYLINE DR, FREDERICK, MD 21702-3652
(703) 509-7657
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
U02131
MD
Other
Enumeration date
11/25/2014
Last updated
12/11/2018
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