NPI 1548634371

Shawnta Warren

Practitioner Vehicle Modifications Contractor Fredericksburg, VA

Practice location

Address: 10907 Taney Dr, Fredericksburg, VA 22407-2561
Phone: (540) 388-2821
Fax: (540) 412-1195

Registered specialties

Vehicle Modifications Contractor Primary

Other Service Providers Taxonomy 171WV0202X Licence T63456150 (VA)

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Registry record

NPI: 1548634371
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Nov 2015
Record last updated: 17 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.