Individual
SHACOLA ANNETTE WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6010 SAINT MORITZ DR, TEMPLE HILLS, MD 20748-6471
(202) 553-0024
Mailing address
6010 SAINT MORITZ DR, TEMPLE HILLS, MD 20748-6471
(202) 553-0024
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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