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Individual

SHAKIRA EBANKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
HAIR LOSS SPECIALIST

Contact information

Practice address
768 TYVOLA RD, CHARLOTTE, NC 28217-3508
(704) 240-5481
Mailing address
12705 WINTER HAZEL RD APT 105, CHARLOTTE, NC 28278-7739
(281) 425-5116

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
NH7420
NC

Other

Enumeration date
03/17/2022
Last updated
04/02/2022
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