Individual
SHEENA MAIREAD CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
4553 WATKINS ST, PACE, FL 32571-2511
(850) 905-6331
Mailing address
762 MAJESTIC DR, CRESTVIEW, FL 32536-2254
(267) 625-8306
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5250089
FL
Other
Enumeration date
12/08/2021
Last updated
12/08/2021
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