Individual provider · NPI-1

Shaquanda Branch

Lodging · Los Angeles, CA

NPI number1073466231
StatusActive
Last updated in NPPESFeb 18, 2026

Details

NPI
1073466231
Entity type
Individual (NPI-1)
Name
Shaquanda Branch
Sex
Female
Sole proprietor
Yes
Enumeration date
Feb 18, 2026
Certification date
Feb 18, 2026
Last updated
Feb 18, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
177F00000X Lodging––Yes

Practice location

12422 Elva Ave
Los Angeles, CA 90059-3248

Phone 323-804-5003

Mailing address

12422 Elva Ave
Los Angeles, CA 90059-3248

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