Individual
SHANELL BARNES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
27 HUNTER LN APT B, HATTIESBURG, MS 39402-9775
(601) 549-7486
Mailing address
27 HUNTER LN APT B, HATTIESBURG, MS 39402-9775
(601) 549-7486
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A049500
MS
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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