Individual
SHELIA DECRUISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3417 18TH ST NE, WASHINGTON, DC 20018-2721
(202) 629-2917
(202) 629-2797
Mailing address
4100 AMES ST NE APT F44, WASHINGTON, DC 20019-3383
(202) 515-8979
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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