Individual
MS. DEANNA JOY SHAPIRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5900 CEDAR LN, COLUMBIA, MD 21044-3635
(443) 718-4067
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 855-4355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005569
MD
Other
Enumeration date
11/04/2014
Last updated
03/23/2022
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