Individual
SHAUNIKA NABRISCA DAVIDSON-PLEASANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
16 DODSON LN, WILKES BARRE, PA 18702-4720
(929) 251-0802
Mailing address
16 DODSON LN, WILKES BARRE, PA 18702-4720
(929) 251-0802
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
10041302
PA
376K00000X
Nurse's Aide
CN0014229034
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29101626
DRIVERS LICENSE
PA
Enumeration date
11/19/2021
Last updated
11/19/2021
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