Individual
ERICIA SHANTE KINDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2025 VALLEY FALLS AVE, MESQUITE, TX 75181-2111
(601) 870-9470
Mailing address
2025 VALLEY FALLS AVE, MESQUITE, TX 75181-2111
(214) 998-3002
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
851312
TX
Other
Enumeration date
09/19/2018
Last updated
11/28/2023
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