Individual
SHANA MARIE POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 DELAWARE AVE SW APT 723, WASHINGTON, DC 20024-3948
(202) 595-5694
Mailing address
1200 DELAWARE AVE SW APT 723, WASHINGTON, DC 20024-3948
(202) 595-5694
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/15/2019
Last updated
02/15/2019
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