Individual
SHANNON MATHEWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
43893 CHURCHILL GLEN DR, CHANTILLY, VA 20152-5771
(540) 841-9293
Mailing address
43893 CHURCHILL GLEN DR, CHANTILLY, VA 20152-5771
(540) 841-9293
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
VA
374J00000X
Doula
—
—
Other
Enumeration date
10/23/2023
Last updated
10/23/2023
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