Individual
SHANTERDRA SHARDA GINYARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1805 S MOTT DR, MOBILE, AL 36617-3325
(251) 229-9338
Mailing address
1805 S MOTT DR, MOBILE, AL 36617-3325
(251) 229-9338
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
621399
AL
Other
Enumeration date
04/03/2018
Last updated
04/03/2018
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