Individual
INEZ GOODEN SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-7777
(336) 641-5407
Mailing address
4413 PIEDMONT TRACE DR, GREENSBORO, NC 27409-9206
(336) 641-6824
(336) 641-5407
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
037234
NC
Other
Enumeration date
03/05/2007
Last updated
07/08/2007
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