Most Relevant Information
Provider Data
| NPI Number: | 1003175472 |
| Provider Name: | SHAWNTAI ANDERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 251E00000X |
| Specialty: | Home Health |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2012 |
| Last Updated: | 08/09/2018 |
Provider Practice Location
1416 9TH ST NW
WASHINGTON
DC
20001
Practice Location Phone/Fax
| Phone: | 2024839111 |
| Fax: |
Provider Mailing Location
1416 9TH ST NW
WASHINGTON
DC
200013344
Provider Mailing Phone/Fax
| Phone: | 2024839111 |
| Fax: |