Individual
VERCONIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2000 EAST LAMAR BOULEVARD, SUITE 600 #1181, ARLINGTON, TX 76006
(682) 999-9983
Mailing address
2000 EAST LAMAR BOULEVARD, SUITE 600 #1181, ARLINGTON, TX 76006
(682) 999-9983
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
08/04/2021
Last updated
08/04/2021
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