Individual
TAKARA SHINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8200 EUCLID AVE, MANASSAS, VA 20111-2353
(703) 361-9131
Mailing address
8200 EUCLID AVE, MANASSAS, VA 20111-2353
(703) 361-9131
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
VA
247200000X
Other Technician
—
VA
Other
Enumeration date
03/05/2025
Last updated
03/10/2025
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