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Laquanta S Shaw, NONTYPICAL
Driver in Indianapolis, Indiana
NPI 1730735903

Laquanta S Shaw is a Driver based in Indianapolis, IN. Laquanta S Shaw practices in Indianapolis, IN and has the professional credentials of NONTYPICAL. The NPI Number for Laquanta S Shaw is 1730735903 and holds a License No. HHA0901819 (Indiana).

The current practice location address for Laquanta S Shaw is 4160 Tahoe Ct, Indianapolis, IN and can be reached out via phone at 317-627-8590. You can also correspond with Laquanta S Shaw through the mailing address at 55 S STATE AVE STE 353, INDIANAPOLIS, IN - 46201-3890 (mailing address contact number: 317-627-8590).

Location: 4160 Tahoe Ct, Indianapolis, IN, 46201-3890
person
Provider Profile Details
NPI Number
1730735903
Provider Name
Laquanta S Shaw
Credential
NONTYPICAL
Provider Entity Type
Individual
Gender
Female
Address
4160 Tahoe Ct, Indianapolis, IN, 46201-3890
Phone Number
317-627-8590
Fax Number
Provider Enumeration Date
08/14/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
152957 05 IN
institution
Provider Business Practice Location Address Details
Address
4160 Tahoe Ct
City
State
Zip
46235-8823
Phone Number
317-627-8590
Fax Number
person
Provider Business Mailing Address Details
Address
4160 Tahoe Ct
City
State
Zip
46235-8823
Phone Number
317-627-8590
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Driver
Speciality
-
Taxonomy
License No.
2350-45-6933 (Indiana)
Definition
A person employed to operate a motor vehicle as a carrier of persons or property.
person
Provider's Taxonomy Details 2
Type
Nursing Service Related Providers
Classification
Home Health Aide
Speciality
-
Taxonomy
License No.
HHA0901819 (Indiana)
Definition
A person trained to assist public health nurses, home health nurses, and other health professionals in the bedside care of patients in their homes.
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