NICOLE MAALOUF SHIVELY

ROANOKE, VA
NPI1023671617
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NC  0010-10795)
Enumeration Date2019-04-18
Last Update Date2024-07-31
Business Address
NICOLE MAALOUF SHIVELY PA
1622 WESTOVER AVE SW
ROANOKE, VA 24015-5216
Phone number: 339-368-1887
Mailing Address
NICOLE MAALOUF SHIVELY PA
1622 WESTOVER AVE SW
ROANOKE, VA 24015-5216
Phone number: 339-368-1887