Individual
SHAUNN DOMINIQUE MALAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
14904 JEFFERSON DAVIS HWY, STE 105, WOODBRIDGE, VA 22191-3908
(703) 490-8171
(703) 490-8172
Mailing address
14904 JEFFERSON DAVIS HWY, STE 105, WOODBRIDGE, VA 22191-3908
(703) 490-8171
(703) 490-8172
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0103301025
VA
213ES0103X
Foot & Ankle Surgery Podiatrist
01481
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
684
CO
213ES0103X
Foot & Ankle Surgery Podiatrist
PO1000072
DC
Other
Enumeration date
03/16/2009
Last updated
01/11/2018
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