| NPI | 1285995118 |
|---|---|
| Other Name | SHAWN SMALLS |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: DE L2-0010853) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: PA PN278828) |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2013-11-01 |