Individual
MISS SHANKIYAH MARKISHA KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
431 S DOLLINS AVE, ORLANDO, FL 32805-3005
(321) 347-4264
Mailing address
431 S DOLLINS AVE, ORLANDO, FL 32805-3005
(321) 347-4264
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K520-793-95-725-0
IDENTIFICATION CARD
FL
Enumeration date
12/21/2020
Last updated
12/21/2020
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