Individual
SHAWN MCQUEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
208 CARDINAL COURT, STANARDSVILLE, VA 22973
(716) 949-2204
Mailing address
208 CARDINAL COURT, STANARDSVILLE, VA 22973
(716) 949-2204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
3512
VA
Other
Enumeration date
01/15/2020
Last updated
02/15/2020
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