Individual
SHANIQWA MARIE CLEMONS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 641-3245
Mailing address
501 E GREEN DR, HIGH POINT, NC 27260-6707
(336) 641-3245
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
91833
NC
Other
Enumeration date
11/16/2022
Last updated
11/16/2022
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