Provider Demographics
NPI:1659194967
Name:WILSON-BROWN, SHAMEEKA MONAY
Entity type:Individual
Prefix:
First Name:SHAMEEKA
Middle Name:MONAY
Last Name:WILSON-BROWN
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 1:949 N CAMINO ALTO
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2625
Mailing Address - Country:US
Mailing Address - Phone:707-210-5037
Mailing Address - Fax:
Practice Address - Street 1:949 N CAMINO ALTO
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2625
Practice Address - Country:US
Practice Address - Phone:707-210-5037
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-05
Last Update Date:2024-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula