Individual
SHUWANDA MAXWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2520 DEHERRADORA AVE, CHARLOTTE, NC 28208-4822
(980) 282-9399
Mailing address
2520 DEHERRADORA AVE, CHARLOTTE, NC 28208-4822
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NC
Other
Enumeration date
05/10/2022
Last updated
05/10/2022
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