Individual
SHANTA W HERRING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1315 SW ZESTY CIR APT 103, LAKE CITY, FL 32025-0723
(386) 688-3375
Mailing address
1315 SW ZESTY CIR APT 103, LAKE CITY, FL 32025-0723
(386) 688-3375
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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