Individual
SHAYLA SHABAZZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2918 MINNESOTA AVE SE, WASHINGTON, DC 20019-1127
(703) 999-6924
Mailing address
1907 MARION BARRY AVE SE, 110, WASHINGTON, DC 20020
(703) 999-6924
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/29/2024
Last updated
01/29/2024
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