STACEY T SHEPHERD

CENTREVILLE, VA
NPI1679673255
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: VA  0110001525)
Enumeration Date2006-09-24
Last Update Date2007-07-08
Business Address
-- STACEY T SHEPHERD PA-C
5645 STONE RD
CENTREVILLE, VA 20120-1618
Phone number: 703-266-2442
Mailing Address
-- STACEY T SHEPHERD PA-C
6705 JACKPIN PL
GAINESVILLE, VA 20155-4459
Phone number:
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