SAMUEL ALEXANDER SHIELDS

CHARLOTTESVILLE, VA
NPI1760039648
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-08-24
Last Update Date2019-08-24
Business Address
SAMUEL ALEXANDER SHIELDS
1215 LEE ST
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2642
Mailing Address
SAMUEL ALEXANDER SHIELDS
1215 LEE ST. BOX 800672
CHARLOTTESVILLE, VA 22908
Phone number: 434-924-2642
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