Individual
SHANTA JANERNITA LINDSAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CHA1
Contact information
Practice address
1140 SAFEWAY DR, GASTONIA, NC 28056
(704) 923-3079
Mailing address
1140 SAFEWAY DR, GASTONIA, NC 28056
(704) 923-3079
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
315905
NC
Other
Enumeration date
04/25/2012
Last updated
04/25/2012
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