Tajuania Shanette Boone
Home Health Aide in Shreveport, LA. Individual provider (NPI-1).
NPI number1164055158
StatusActive
Last updated in NPPESFeb 20, 2020
Details
- NPI
- 1164055158
- Entity type
- Individual (NPI-1)
- Name
- Tajuania Shanette Boone
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 18, 2020
- Certification date
- Feb 20, 2020
- Last updated
- Feb 20, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
1143 McKinley AveShreveport, LA 71107-6605
Phone 318-426-0469
Mailing address
3809 Oakcrest StShreveport, LA 71109-4730
Phone 318-426-0469
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All 56 Home Health Aide providers in Shreveport · All 11,081 providers in Shreveport
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