Individual
DELTA SHAMEL CAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S
Contact information
Practice address
2206 BETHABARA POINTE DR, WINSTON SALEM, NC 27106-2783
(336) 813-1791
Mailing address
2206 BETHABARA POINTE DR, WINSTON SALEM, NC 27106-2783
(336) 813-1791
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
CSC
NC
Other
Enumeration date
05/26/2010
Last updated
05/26/2010
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