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Individual

MONIQUE MARTIN SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
920 VARNUM ST NE, WASHINGTON, DC 20017-2145
(202) 854-7400
Mailing address
3540 CRAIN HIGHWAY, 383, BOWIE, MD 20716-1303
(240) 206-0621

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD046856
DC
208100000X
Physical Medicine & Rehabilitation Physician
P20639
MD

Other

Enumeration date
02/21/2007
Last updated
11/18/2022
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