Individual provider · NPI-1

Shaniqua Allen

Homemaker · Dayton, OH

NPI number1427646876
StatusActive
Last updated in NPPESDec 31, 2020

Details

NPI
1427646876
Entity type
Individual (NPI-1)
Name
Shaniqua Allen
Sex
Female
Sole proprietor
Yes
Enumeration date
Dec 31, 2020
Certification date
Dec 31, 2020
Last updated
Dec 31, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker–OHYes

Practice location

216 Anna St
Dayton, OH 45417-2319

Phone 937-204-6699

Mailing address

216 Anna St
Dayton, OH 45417-2319

Phone 937-204-6699

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