Provider Demographics
NPI:1760816110
Name:JOINTER, SHNIQUA
Entity type:Individual
Prefix:
First Name:SHNIQUA
Middle Name:
Last Name:JOINTER
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 1:3004 EUREKA ST
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3852
Mailing Address - Country:US
Mailing Address - Phone:907-230-0124
Mailing Address - Fax:
Practice Address - Street 1:3004 EUREKA ST
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3852
Practice Address - Country:US
Practice Address - Phone:907-230-0124
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2013-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant