Individual
SHANDA AHMI BOYLES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
716 MARSH RD, CHARLOTTE, NC 28209-1851
(704) 522-9912
(704) 566-6050
Mailing address
9336 AMY DR, CHARLOTTE, NC 28213-3765
(704) 953-7444
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
251566
NC
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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