Most Relevant Information
Provider Data
| NPI Number: | 1003663154 |
| Provider Name: | SHAKERA CANTY LPN |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | 49592 |
Most Important Dates
| Enumeration Date: | 05/06/2024 |
| Last Updated: | 05/06/2024 |
Provider Practice Location
218 SPRING ST APT 115
LAURENS
SC
293601868
Practice Location Phone/Fax
| Phone: | 8643994415 |
| Fax: |
Provider Mailing Location
218 SPRING ST APT 115
LAURENS
SC
293601868
Provider Mailing Phone/Fax
| Phone: | 8643994415 |
| Fax: |