Individual
SHANEKA LASHELLAI BUSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
503 14TH ST NE BSMT, WASHINGTON, DC 20002-5411
(120) 275-1662
Mailing address
503 14TH ST NE BSMT, WASHINGTON, DC 20002-5411
(120) 275-1662
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2024
Last updated
01/22/2024
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