Individual
SHERONDA ANTOINETTE NEWSOME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA I
Contact information
Practice address
735 MARBLE ST, CHARLOTTE, NC 28208-1918
(704) 606-9018
Mailing address
735 MARBLE ST, CHARLOTTE, NC 28208-6079
(704) 606-9018
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
196524
NC
Other
Enumeration date
03/02/2009
Last updated
03/02/2009
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