Individual
SHAWNTEA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
107 58TH ST SE, WASHINGTON, DC 20019-6546
(202) 905-7566
Mailing address
6610 ATWOOD ST APT 6, DISTRICT HEIGHTS, MD 20747-5023
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
10/06/2023
Last updated
10/22/2023
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