SHAVON MC CULLOUGH

Technician - Personal Care Attendant

Active Individual
NPI: 1417757105

Practice Address

320 N 36TH ST UNIT 124
Lincoln, NE 68503

Phone: (531) 220-2165

Specialties

Specialty Code Primary License
Technician - Personal Care Attendant 3747P1801X Yes -

Frequently Asked Questions

NPI 1417757105 is the National Provider Identifier for SHAVON MC CULLOUGH, a Technician - Personal Care Attendant provider located in Lincoln, NE. This NPI was enumerated on March 13, 2025.
SHAVON MC CULLOUGH practices at 320 N 36TH ST UNIT 124, Lincoln, NE 68503.

Quick Facts

NPI
1417757105
Type
Individual
Enumerated
Mar 13, 2025
Last Updated
Mar 13, 2025

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