Most Relevant Information
Provider Data
| NPI Number: | 1003387838 |
| Provider Name: | SHAAKURA KABEERA WASHINGTON |
| Entity Type: | Individual |
| Taxonomy Code: | 253Z00000X |
| Specialty: | In Home Supportive Care |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/05/2018 |
| Last Updated: | 12/05/2018 |
Provider Practice Location
2460 TALCO HILLS DR
TALLAHASSEE
FL
323039055
Practice Location Phone/Fax
| Phone: | 8505668017 |
| Fax: |
Provider Mailing Location
2460 TALCO HILLS DR
TALLAHASSEE
FL
323039055
Provider Mailing Phone/Fax
| Phone: | 8505668017 |
| Fax: |