Individual
SHANIYA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5606 STOWE DERBY DR, CHARLOTTE, NC 28278-7396
(704) 905-6121
Mailing address
5606 STOWE DERBY DR, CHARLOTTE, NC 28278-7396
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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