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Individual

SHANICHA MCNEIL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2007 RAMSEY ST, FAYETTEVILLE, NC 28301-4163
(910) 322-4506
Mailing address
505 MANN ST, FAYETTEVILLE, NC 28301-6237
(910) 322-4506
(910) 322-4506

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
374U00000X
Home Health Aide
Primary

Other

Enumeration date
05/11/2017
Last updated
07/16/2024
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