Individual
SHINEATRA GILBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
395 VILLA ROSA RD APT G2, TEMPLE, GA 30179-7303
(979) 777-3460
Mailing address
395 VILLA ROSA RD APT G2, TEMPLE, GA 30179-7303
(979) 777-3460
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
098322
GA
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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