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Ralanda Shantel Gentry, cna

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

NPI number1750964573
StatusActive
Last updated in NPPESApr 29, 2021

Details

NPI
1750964573
Entity type
Individual (NPI-1)
Name
Ralanda Shantel Gentry
Credential
cna
Sex
Female
Sole proprietor
No
Enumeration date
Apr 29, 2021
Certification date
Apr 29, 2021
Last updated
Apr 29, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376K00000X Nurse's Aide257966NCYes

Practice location

1309 Hudson Ave Apt C11
Durham, NC 27705-7615

Phone 919-636-2465

Mailing address

1305 Jackson St
Durham, NC 27701-3046

Phone 919-636-2465

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