Individual
JASMINE SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
46 W COPENHAVER DR, CLAYTON, NC 27527-9544
(984) 274-7779
Mailing address
46 W COPENHAVER DR, CLAYTON, NC 27527-9544
(984) 274-7779
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
NC
Other
Enumeration date
05/27/2022
Last updated
05/27/2022
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