Individual
DR. SHANNON ALISHA HOWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1020 TERRACE DR STE 100, MARION, VA 24354-4392
(276) 783-5157
Mailing address
1020 TERRACE DR STE 100, MARION, VA 24354-4392
(276) 783-5157
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618002689
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0618002689
OPTOMETRY LISCENSE NUMBER
VA
Enumeration date
07/05/2018
Last updated
07/05/2018
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