Individual
SHALEISA SADE' ECHOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMA
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
Y7A4Z2J6
GA
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
Update your record
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