Jiovanni N Shivers
Technician, Attendant Care Provider in Davenport, IA. Individual provider (NPI-1).
NPI number1639747397
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1639747397
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jiovanni N Shivers
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jun 17, 2021
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | – | – | Yes |
Practice location
604 W 3rd St Apt 2bDavenport, IA 52801-1024
Phone 563-505-7837
Mailing address
604 W 3rd St Apt 2bDavenport, IA 52801-1024
Phone 563-505-7837
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