Individual
SHAKARIA NICOLE WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
3371 CYPRESS BRANCH RD, PINELAND, SC 29934-5735
(803) 942-9202
Mailing address
3371 CYPRESS BRANCH RD, PINELAND, SC 29934-5735
(803) 942-9202
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
48910
SC
Other
Enumeration date
03/02/2021
Last updated
03/02/2021
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