Individual
SHAWNEE BERTHA PEEBLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CHW
Contact information
Practice address
6354 QUEENS CASTLE APT 1, SAN ANTONIO, TX 78218-4456
(210) 792-0702
Mailing address
6354 QUEENS CASTLE APT 1, SAN ANTONIO, TX 78218-4456
(210) 792-0702
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
17236
TX
Other
Enumeration date
10/07/2024
Last updated
11/14/2024
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