Individual
SHANEEKWA STINNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1430 E BASELINE RD, TEMPE, AZ 85283-1406
(480) 755-9379
Mailing address
1430 E BASELINE RD, TEMPE, AZ 85283-1406
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP054656
AZ
Other
Enumeration date
10/27/2020
Last updated
10/27/2020
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