Individual
LASHONDA TRINETTE JEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
259 MADELIA PL, MOORESVILLE, NC 28115-5804
(704) 619-3230
Mailing address
259 MADELIA PL, MOORESVILLE, NC 28115-5804
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
266834
NC
Other
Enumeration date
03/24/2022
Last updated
03/24/2022
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