Individual provider · NPI-1
Evette Shields
Adult Companion · Crofton, MD
NPI number1326594201
StatusActive
Last updated in NPPESAug 30, 2016
Details
- NPI
- 1326594201
- Entity type
- Individual (NPI-1)
- Name
- Evette Shields
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 30, 2016
- Last updated
- Aug 30, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 372600000X | Adult Companion | – | – | Yes |
| 374U00000X | Home Health Aide | – | – |
Practice location
1617 Parkridge Circle #152Crofton, MD 21114
Phone 202-483-8018
Mailing address
1617 Parkridge Circle #152Crofton, MD 21114
Phone 202-483-8018
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