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NPI 1811245772

IndividualActive

Delita Shields, IDC

NPI 1811245772 · Independent Duty Corpsman · Washington, DC

Provider details

NPI number: 1811245772
Entity type: Individual
Primary specialty: Independent Duty CorpsmanOther Service Providers
Credential: IDC
Sex: Female
Sole proprietor: No

Practice location

915 N St Se

Building: 175

Washington, DC 20374-5162

Phone: (910) 545-9284

More DC providers

Mailing address

915 N St Se

Washington, DC 20374-5162

Registry dates

Enumerated: 2012-08-27
Last updated: 2015-10-29

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Delita Shields, IDC — NPI 1811245772, Washington, DC | NPI Central