Individual
SHANNON RAE DENT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3209 LIBETH ST, CHARLOTTE, NC 28205-3223
(585) 993-7289
Mailing address
3209 LIBETH ST, CHARLOTTE, NC 28205-3223
(585) 993-7289
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
1444789SD
NC
Other
Enumeration date
12/29/2021
Last updated
12/29/2021
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