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Kamiyal Shavondar Chambers, NA

Nurse's Aide in Charlotte, NC. Individual provider (NPI-1).

NPI number1477123701
StatusActive
Last updated in NPPESJun 29, 2021

Details

NPI
1477123701
Entity type
Individual (NPI-1)
Name
Kamiyal Shavondar Chambers
Credential
NA
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 29, 2021
Certification date
Jun 28, 2021
Last updated
Jun 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide330338NCYes

Practice location

7701 Creekridge Rd Apt 1005
Charlotte, NC 28212-0175

Phone 980-447-3070 · Fax 704-448-2080

Mailing address

4919 Albemarle Rd Ste 105
Charlotte, NC 28205-6653

Phone 980-447-3070 · Fax 704-448-2050

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