Shavonne Denise Mckeithan, | |
264 Epps Ave, Englewood, NJ 07631-3934 | |
(551) 313-3601 | |
Not Available |
Full Name | Shavonne Denise Mckeithan |
---|---|
Gender | Female |
Speciality | Licensed Practical Nurse |
Location | 264 Epps Ave, Englewood, New Jersey |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851831721 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
164W00000X | Licensed Practical Nurse | 305232-1 (New York) | Primary |
Mailing Address | Practice Location Address |
---|---|
Shavonne Denise Mckeithan, 264 Epps Ave, Englewood, NJ 07631-3934 Ph: (551) 313-3601 | Shavonne Denise Mckeithan, 264 Epps Ave, Englewood, NJ 07631-3934 Ph: (551) 313-3601 |
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