| NPI | 1043083413 |
|---|---|
| Doing Business As | DEQUAN' DR. DEQUAN' |
| Entity Type | Organization |
| Authorized Contact | SHELDON B HAYNES Consultant 785-817-1893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 1835E0208X |
| 2084P0301X Psychiatry & Neurology Brain Injury Medicine | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 247000000X Technician, Health Information | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-11-06 |
| Last Update Date | 2024-02-20 |