Most Relevant Information
Provider Data
| NPI Number: | 1003272782 |
| Provider Name: | SHANTELL CLIFFORD |
| Entity Type: | Individual |
| Taxonomy Code: | 376K00000X |
| Specialty: | Nurse's Aide |
| License Number: | 145754 |
Most Important Dates
| Enumeration Date: | 01/11/2016 |
| Last Updated: | 01/11/2016 |
Provider Practice Location
6856 EASTERN AVE NW
WASHINGTON
DC
200122165
Practice Location Phone/Fax
| Phone: | 2025456980 |
| Fax: |
Provider Mailing Location
6856 EASTERN AVE NW
WASHINGTON
DC
200122165
Provider Mailing Phone/Fax
| Phone: | 2025456980 |
| Fax: |