Individual
RUCSANDRA RALUCA SHANAHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
273 CALDWELL LOOP, JACKSONVILLE, NC 28546-8397
(478) 213-5019
Mailing address
273 CALDWELL LOOP, JACKSONVILLE, NC 28546-8397
(478) 213-5019
Taxonomy
Speciality
Code
Description
License number
State
163WX0003X
Inpatient Obstetric Registered Nurse
Primary
266367
NC
Other
Enumeration date
04/01/2015
Last updated
04/01/2015
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