MISS Shanita Roshawn Shuford, MEDICAL WIG PROVIDER
NPI #1619793486 in Statesville, North Carolina
Provider Information
- NPI Number
- 1619793486
- Entity Type
- Individual
- Name
- MISS Shanita Roshawn Shuford, MEDICAL WIG PROVIDER
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Credential
- MEDICAL WIG PROVIDER
- Enumeration Date
- Nov 26, 2024
- Last Updated
- Nov 26, 2024
Practice Location
- Address
- 125 N TRADO ST SUITE D
- City
- Statesville
- State
- North Carolina
- ZIP Code
- 28677
- Phone
- (828) 571-8564
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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