SHANNA ALAYNE BLACK

CHARLESTON, SC
NPI1104296557
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: SC  19717)
Enumeration Date2015-09-29
Last Update Date2015-09-29
Business Address
-- SHANNA ALAYNE BLACK
171 ASHLEY AVE
CHARLESTON, SC 29425-8908
Phone number: 843-792-1414
Mailing Address
-- SHANNA ALAYNE BLACK
PO BOX 751461
CHARLOTTE, NC 28275-1461
Phone number: 843-792-6200
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