MIRANDA SHELLY

RICHMOND, VA
NPI1679270706
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: VA  0110009160)
Enumeration Date2023-02-09
Last Update Date2023-08-28
Business Address
MIRANDA SHELLY
6602 W BROAD ST STE B
RICHMOND, VA 23230-1702
Phone number: 804-285-8206
Mailing Address
MIRANDA SHELLY
PO BOX 8310
ROANOKE, VA 24014-0310
Phone number: 540-345-3556