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Individual

SHAWNETTE T GOINES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NURSE PRACTITIONER

Contact information

Practice address
5525 EASTERN AVE, BALTIMORE, MD 21224-2796
(667) 328-9051
Mailing address
17 KETCH CAY CT, BALTIMORE, MD 21220-7512
(667) 328-9051

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R142565
MD

Other

Enumeration date
09/19/2023
Last updated
09/19/2023
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