Individual
SHANEKA CHANTEL BEVERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
502 M ST NW APT 1, WASHINGTON, DC 20001-3663
(202) 702-7164
Mailing address
772 KENILWORTH TER NE APT 6, WASHINGTON, DC 20019-1861
(202) 749-1887
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/10/2020
Last updated
12/10/2020
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