Individual
SHAKIETA JEANETTE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 14TH ST NW APT 304, WASHINGTON, DC 20010-2365
(240) 302-6104
Mailing address
4736 BENNING RD SE APT 303, WASHINGTON, DC 20019-5183
(202) 669-5780
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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