Individual
SHANTELLE EDMONDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4517 S CAPITOL ST SW APT 102, WASHINGTON, DC 20032-2013
(771) 200-6656
Mailing address
4517 S CAPITOL ST SW APT 102, WASHINGTON, DC 20032-2013
(771) 200-6656
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
HHA11986
DC
Other
Enumeration date
03/09/2017
Last updated
06/20/2024
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