Individual
EVETTE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 PARKRIDGE CIRCLE #152, CROFTON, MD 21114
(202) 483-8018
Mailing address
1617 PARKRIDGE CIRCLE #152, CROFTON, MD 21114
(202) 483-8018
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/30/2016
Last updated
08/30/2016
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