Individual
SHANEEKWA SHAUNTE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
18056 WIKA RD STE C, APPLE VALLEY, CA 92307-2194
(760) 628-2021
(760) 867-3302
Mailing address
10 WEST ST, UNIT 7, WEST HATFIELD, MA 01088-9554
(413) 397-8900
(413) 247-6151
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
6050
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
LL9564
MD
213ES0103X
Foot & Ankle Surgery Podiatrist
PD2394
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
IA
Other
Enumeration date
03/15/2010
Last updated
07/02/2024
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