Individual
SHALITHA ERVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3127 GREENFIELD RD LOT 271, PEARL, MS 39208-7000
(601) 862-2676
Mailing address
3127 GREENFIELD RD LOT 271, PEARL, MS 39208-7000
(601) 862-2676
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
73437
MS
Other
Enumeration date
08/29/2022
Last updated
08/29/2022
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