Individual
MRS. DELITA DANYELLE SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
IDC
Contact information
Practice address
915 N ST SE, BUILDING: 175, WASHINGTON, DC 20374-5162
(910) 545-9284
Mailing address
915 N ST SE, BUILDING: 175, WASHINGTON, DC 20374-5162
(910) 545-9284
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
08/27/2012
Last updated
10/29/2015
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