Individual
SHIMICA CHURCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1100 E WENDOVER AVE, GREENSBORO, NC 27405-6713
(336) 641-5592
(336) 641-5777
Mailing address
1016 MEADOW OAK DR, GREENSBORO, NC 27406-8285
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
215855
NC
Other
Enumeration date
02/04/2009
Last updated
02/04/2009
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