Individual
MRS. SHANNON SYNORACKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
44095 PIPELINE PLZ, SUITE 430, ASHBURN, VA 20147-5898
(703) 858-3208
(571) 291-2289
Mailing address
44095 PIPELINE PLZ, SUITE 430, ASHBURN, VA 20147-5898
(703) 858-3208
(571) 291-2289
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-004733
VA
363AS0400X
Surgical Physician Assistant
0110-004733
VA
Other
Enumeration date
09/12/2014
Last updated
09/12/2014
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