Individual
SHANIA ASHANTI92 DANMOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10103 MICHAEL CROSSING DR, CHARLOTTE, NC 28213-4354
(757) 450-9142
Mailing address
10103 MICHAEL CROSSING DR, CHARLOTTE, NC 28213-4354
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
238132
NC
Other
Enumeration date
07/10/2020
Last updated
07/10/2020
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