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SHELINA HARDWICK-MOSES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
1391 FROST ST, EDWARDS, CA 93523-2715
(985) 750-8237
Mailing address
1391 FROST ST, EDWARDS, CA 93523-2715
(985) 750-8237

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002100219
VA

Other

Enumeration date
11/08/2020
Last updated
11/08/2020
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