Individual provider · NPI-1
Shaira Kirkland
Community Health Worker · Vineland, NJ
NPI number1912560145
StatusActive
Last updated in NPPESApr 14, 2019
Details
- NPI
- 1912560145
- Entity type
- Individual (NPI-1)
- Name
- Shaira Kirkland
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 14, 2019
- Last updated
- Apr 14, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
821 N Main Rd Apt 40bVineland, NJ 08360-8216
Phone 856-285-9332
Mailing address
821 N Main Rd Apt 40bVineland, NJ 08360-8216
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