Individual
SHAKIA QUINSHA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
101 PARMA RD, OAK RIDGE, TN 37830-6407
(865) 282-1650
Mailing address
101 PARMA RD, OAK RIDGE, TN 37830-6407
(865) 282-1650
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
95407
TN
Other
Enumeration date
10/05/2022
Last updated
10/05/2022
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