Individual
SHANNON PRINCE GLAWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
21475 RIDGETOP CIR STE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999
Mailing address
21475 RIDGETOP CIR, STE 150, STERLING, VA 20166-6580
(703) 444-5000
(703) 444-4999
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110003316
VA
Other
Enumeration date
07/13/2010
Last updated
04/14/2021
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