LAQUANTA SHAW, NON TYPICAL

Driver

Active Individual
NPI: 1730735903

Practice Address

4160 TAHOE CT
Indianapolis, IN 46235

Phone: (317) 627-8590

Specialties

Specialty Code Primary License
Home Health Aide 374U00000X No HHA0901819 (IN)
Driver 172A00000X Yes 2350-45-6933 (IN)

Frequently Asked Questions

NPI 1730735903 is the National Provider Identifier for LAQUANTA SHAW, NON TYPICAL, a Driver provider located in Indianapolis, IN. This NPI was enumerated on August 14, 2019.
LAQUANTA SHAW, NON TYPICAL practices at 4160 TAHOE CT, Indianapolis, IN 46235.

Quick Facts

NPI
1730735903
Type
Individual
Enumerated
Aug 14, 2019
Last Updated
Sep 16, 2025

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