Individual
SHARNTIVIA JACQUISE SWIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
790 VETERANS WAY, PENSACOLA, FL 32507-1000
(866) 927-1420
Mailing address
380 N CROW RD APT D, PENSACOLA, FL 32506-4393
(850) 221-0007
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5194355
FL
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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