Individual
SHANEEQUA LAQUANA BILLUPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CST
Contact information
Practice address
307 COLD SPRING PL, DOVER, DE 19904-7636
(302) 228-4309
Mailing address
307 COLD SPRING PL, DOVER, DE 19904-7636
(302) 228-4309
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
145649
DE
Other
Enumeration date
01/14/2015
Last updated
01/14/2015
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