person
Katoya Nicole Shaw, HAIRLOSSSPECIALIST
Prosthetics Case Management in Upper Marlboro, Maryland
NPI 1538723267

Katoya Nicole Shaw is a Prosthetics Case Management based in Upper Marlboro, MD and is specialized in Prosthetics Case Management. Katoya Nicole Shaw practices in Upper Marlboro, MD and has the professional credentials of HAIRLOSSSPECIALIST. The NPI Number for Katoya Nicole Shaw is 1538723267 and holds a License No. COP5008723 (Maryland).

The current practice location address for Katoya Nicole Shaw is 12544 Woodstock Dr E, Upper Marlboro, MD and can be reached out via phone at 240-603-7903.

Location: 12544 Woodstock Dr E, Upper Marlboro, MD, 20772-5131
person
Provider Profile Details
NPI Number
1538723267
Provider Name
Katoya Nicole Shaw
Credential
HAIRLOSSSPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
12544 Woodstock Dr E, Upper Marlboro, MD, 20772-5131
Phone Number
240-603-7903
Fax Number
Provider Enumeration Date
04/29/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
12544 Woodstock Dr E
City
State
Zip
20772-5131
Phone Number
240-603-7903
Fax Number
person
Provider Business Mailing Address Details
Address
12544 Woodstock Dr E
City
State
Zip
20772-5131
Phone Number
240-603-7903
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
COP5008723 (District of Columbia)
Definition
Definition to come...
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