Individual
MRS. SHANEKA SHIPMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 CROSS GATE CT, WINSTON SALEM, NC 27106-6326
(336) 837-9242
Mailing address
7319 MATTHEWS MINT HILL RD # I1023, MINT HILL, NC 28227-7594
(336) 837-9242
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
34D2205897
NC
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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