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Shana Roark
Student in an Organized Health Care Education/Training Program in Pembroke, North Carolina
NPI 1457120495

Shana Roark is a Student in an Organized Health Care Education/Training Program based in West Jefferson, NC. Shana Roark practices in Pembroke, NC. The NPI Number for Shana Roark is 1457120495 and holds a License No. (North Carolina).

The current practice location address for Shana Roark is 1 University Rd, Pembroke, NC and can be reached out via phone at 336-977-6788.

Location: 1 University Rd, Pembroke, NC, 28694-7145
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1457120495
Provider Name
Shana Roark
Credential
Provider Entity Type
Individual
Gender
Female
Address
1 University Rd, Pembroke, NC, 28694-7145
Phone Number
336-977-6788
Fax Number
Provider Enumeration Date
01/01/2024
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
336-977-6788
Fax Number
person
Provider Business Mailing Address Details
Address
1 University Rd
City
Pembroke
State
North Carolina
Zip
28372-8699
Phone Number
336-977-6788
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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