Individual
GLORIA SHANELE DIANE SPELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1245 MITCHELL AVE, STATESVILLE, NC 28677-3841
(704) 928-5043
Mailing address
1245 MITCHELL AVE, STATESVILLE, NC 28677-3841
(704) 928-5043
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
280311
NC
Other
Enumeration date
10/18/2007
Last updated
10/18/2007
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