Individual
SHANIKA S DALTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCCPSS
Contact information
Practice address
2006 NE 24TH ST, WINSTON SALEM, NC 27105-5514
(336) 918-9028
(336) 829-5610
Mailing address
2006 NE 24TH ST, WINSTON SALEM, NC 27105-5514
(336) 918-9028
(336) 829-5610
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
01/06/2021
Last updated
04/21/2025
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