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Individual

KATOYA NICOLE SHAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
12544 WOODSTOCK DR E, UPPER MARLBORO, MD 20772-5131
(240) 603-7903
Mailing address
12544 WOODSTOCK DR E, UPPER MARLBORO, MD 20772-5131
(240) 603-7903

Taxonomy

Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
COP5008723
DC

Other

Enumeration date
04/29/2019
Last updated
04/29/2019
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