Individual
SHAWNDA POOL OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
7723 AVERETTE FIELD DR, RALEIGH, NC 27616-5156
(919) 449-8182
Mailing address
7723 AVERETTE FIELD DR, RALEIGH, NC 27616-5156
(919) 449-8182
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
063964
NC
Other
Enumeration date
02/04/2014
Last updated
02/05/2014
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