Individual
SHANIECE FARLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7020 LONG RUN LN, CHARLOTTE, NC 28216-5615
(216) 294-9131
Mailing address
24700 ALBERTON RD, EUCLID, OH 44123-2353
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
185637
OH
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
OH
Other
Enumeration date
12/05/2017
Last updated
07/10/2024
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