| NPI | 1053148676 |
|---|---|
| Other Name | SHANDEL CALLAWAY -NELSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 376K00000X Nurse's Aide |
| Additional Taxonomies | 376K00000X Nurse's Aide (Licence: FL 107772) |
| Enumeration Date | 2024-09-17 |
| Last Update Date | 2024-09-17 |