Individual
SHAILY EVELYN ESTRELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
MEDICAL CENTER BLVD, WINSTON-SALEM, NC 27157
(336) 716-2255
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
102420
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199494
MEDCOST
—
Enumeration date
01/13/2006
Last updated
05/07/2008
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