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Individual

SHURONDA WARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
13518 TERRACE CREEK DR APT 101, LOUISVILLE, KY 40245-5808
(502) 408-9780
Mailing address
13518 TERRACE CREEK DR APT 101, LOUISVILLE, KY 40245-5808
(502) 408-9780

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
1121124
KY
163WH0200X
Home Health Registered Nurse
Primary
1121124
KY

Other

Enumeration date
12/09/2019
Last updated
12/09/2019
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