Individual
FAREEDAH SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
44 AURORA DR, ASHEVILLE, NC 28805-1742
(828) 280-5089
Mailing address
PO BOX 1631, ASHEVILLE, NC 28802-1631
(828) 280-5089
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
83473
NC
Other
Enumeration date
11/12/2020
Last updated
11/12/2020
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