Individual
RALANDA SHANTEL GENTRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1309 HUDSON AVE APT C11, DURHAM, NC 27705-7615
(919) 636-2465
Mailing address
1305 JACKSON ST, DURHAM, NC 27701-3046
(919) 636-2465
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
257966
NC
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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