Individual
SHUANNA TONI MONCRIEFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSCEM, NASM-CNC
Contact information
Practice address
12820 RIVER RD, POTOMAC, MD 20854-1139
(240) 994-2902
Mailing address
9812 FALLS RD STE 114-324, POTOMAC, MD 20854-3976
(240) 762-1279
Taxonomy
Speciality
Code
Description
License number
State
171400000X
Health & Wellness Coach
Primary
1230950801
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
92-1308163
INTERNAL REVENUE SERVICE
MD
Enumeration date
02/06/2023
Last updated
02/06/2023
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