Provider Demographics
NPI:1073397808
Name:KING, SHENEYA VIRGINA
Entity Type:Individual
Prefix:
First Name:SHENEYA
Middle Name:VIRGINA
Last Name:KING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1035 4TH ST NW APT 1002
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3590
Mailing Address - Country:US
Mailing Address - Phone:202-580-4156
Mailing Address - Fax:
Practice Address - Street 1:1035 4TH ST NW APT 1002
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20001-3590
Practice Address - Country:US
Practice Address - Phone:202-580-4156
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-22
Last Update Date:2023-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant