Individual
SHAKEMIA SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
230 HIGHLAND AVENUE, SOMERVILLE, MA 02143
(617) 591-4252
Mailing address
230 HIGHLAND AVE, SOMERVILLE, MA 02143-1408
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LN92594
MA
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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