Individual
SHENIQUA WOODSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3524 KODIAK ST NW, APT 211, MINOT, ND 58703-8634
(309) 336-3772
Mailing address
308 WIGWAM # 4C, HEYWORTH, IL 61745-8932
(309) 336-3772
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
83759
ND
Other
Enumeration date
09/16/2020
Last updated
12/09/2020
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