Individual
AYESHA SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
881 3RD ST NW APT 703, WASHINGTON, DC 20001-5847
(240) 440-6287
Mailing address
215 BROADUS ST, STURGIS, MI 49091-1384
(877) 659-4500
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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