Individual
SHANNON BLOCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
13300 FRANKLIN FARM RD STE B, HERNDON, VA 20171-4096
(703) 787-7463
(703) 796-0516
Mailing address
2980 PADDOCK WOOD CT, OAKTON, VA 22124-2541
(727) 709-0960
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557408
VA
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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