Individual
MISS KEONNA RENEE SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 ATLANTIC ST SE APT 209, WASHINGTON, DC 20032-3720
(202) 967-7947
Mailing address
4254 4TH STREET SEE #APT 101, WASHINGTON, DC 20032
(202) 878-4483
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/05/2021
Last updated
02/05/2021
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