Individual
SHAWNTAE KATRINA MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2606 18TH ST SE APT H, WASHINGTON, DC 20020-3211
(571) 533-4586
Mailing address
2606 18TH ST SE APT C, WASHINGTON, DC 20020-3259
(706) 621-0469
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2658333
CPR AED & BASIC FIRST AIDE
DC
Enumeration date
09/13/2022
Last updated
09/13/2022
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