Individual
SHANIKA ROSE POE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1912 RIDGECREST CT SE, WASHINGTON, DC 20020-6208
(202) 424-8847
Mailing address
1912 RIDGECREST CT SE, WASHINGTON, DC 20020-6208
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27291527
—
DC
Enumeration date
10/08/2019
Last updated
12/12/2024
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