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Khalelah Shackleford
Student in an Organized Health Care Education/Training Program in Pembroke, North Carolina
NPI 1295504546

Khalelah Shackleford is a Student in an Organized Health Care Education/Training Program based in La Grange, NC. Khalelah Shackleford practices in Pembroke, NC. The NPI Number for Khalelah Shackleford is 1295504546 and holds a License No. (North Carolina).

The current practice location address for Khalelah Shackleford is 1 University Rd, Pembroke, NC and can be reached out via phone at 252-624-4911.

Location: 1 University Rd, Pembroke, NC, 28551-8362
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1295504546
Provider Name
Khalelah Shackleford
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 University Rd, Pembroke, NC, 28551-8362
Phone Number
252-624-4911
Fax Number
Provider Enumeration Date
12/28/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1 University Rd
City
Pembroke
State
North Carolina
Zip
28372-8699
Phone Number
252-624-4911
Fax Number
person
Provider Business Mailing Address Details
Address
1 University Rd
City
Pembroke
State
North Carolina
Zip
28372-8699
Phone Number
252-624-4911
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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