Basic Information
| Provider Information | |||||||||
| NPI: | 1861749004 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MCLAUGHLIN | ||||||||
| FirstName: | SHAQUETTA | ||||||||
| MiddleName: | JANETTE | ||||||||
| NamePrefix: | |||||||||
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| Credential: | HHA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4236 4TH ST SE APT 303 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200323336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025450935 | ||||||||
| FaxNumber: | 2025450934 | ||||||||
| Practice Location | |||||||||
| Address1: | 4236 4TH ST SE APT 303 | ||||||||
| Address2: | |||||||||
| City: | WASHINGTON | ||||||||
| State: | DC | ||||||||
| PostalCode: | 200323336 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2025450935 | ||||||||
| FaxNumber: | 2025450934 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/07/2012 | ||||||||
| LastUpdateDate: | 08/07/2012 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 374U00000X | Y | Nursing Service Related Providers | Home Health Aide |
No ID Information.