Individual
DUSTY MARIE SHENOFSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLP
Contact information
Practice address
10387 MAIN ST STE 205, FAIRFAX, VA 22030-2453
(505) 604-5510
Mailing address
3510 PINEHURST AVE, FAIRFAX, VA 22030-2029
(505) 604-5510
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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