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Individual

MS. SHAVAUGHN LAKEIA GASKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
810 49TH ST NE, WASHINGTON, DC 20019-4819
(202) 399-6427
Mailing address
1521 OLIVE ST NE, WASHINGTON, DC 20019-2716
(202) 641-4144

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary

Other

Enumeration date
01/18/2022
Last updated
01/18/2022
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