Individual
SHANIQUE HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1428 TECUMSEH ST, TOLEDO, OH 43607-4353
(419) 807-6153
Mailing address
1428 TECUMSEH ST, TOLEDO, OH 43607-4353
(419) 807-6153
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
03/18/2024
Last updated
03/18/2024
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