Provider Demographics
NPI:1700395019
Name:MCGRIGGS, SHAUNA LAJUAN
Entity Type:Individual
Prefix:
First Name:SHAUNA
Middle Name:LAJUAN
Last Name:MCGRIGGS
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 1:5900 MIDDLETON CT
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-2316
Mailing Address - Country:US
Mailing Address - Phone:240-462-4680
Mailing Address - Fax:
Practice Address - Street 1:945 LONGFELLOW ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20011-8218
Practice Address - Country:US
Practice Address - Phone:202-723-8444
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-29
Last Update Date:2017-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant