SHANELLE LYNETTE RAIFORD

STONE MOUNTAIN, GA
NPI1902404320
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363L00000X Nurse Practitioner
(Licence: GA  RN245806)
Enumeration Date2020-10-16
Last Update Date2020-10-16
Business Address
SHANELLE LYNETTE RAIFORD DNP
2028 HIDDEN MEADOW LN
STONE MOUNTAIN, GA 30088-4448
Phone number: 404-587-0552
Mailing Address
SHANELLE LYNETTE RAIFORD DNP
2028 HIDDEN MEADOW LN
STONE MOUNTAIN, GA 30088-4448
Phone number:
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