Provider Demographics
NPI:1821821562
Name:COLE, SHAQUIRA KAREEMA EQUAH
Entity type:Individual
Prefix:
First Name:SHAQUIRA
Middle Name:KAREEMA EQUAH
Last Name:COLE
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 1:35 PARKER ROW SW APT 959
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20024-2976
Mailing Address - Country:US
Mailing Address - Phone:410-908-2788
Mailing Address - Fax:
Practice Address - Street 1:35 PARKER ROW SW APT 959
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20024-2976
Practice Address - Country:US
Practice Address - Phone:410-908-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-08-20
Last Update Date:2024-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker