Individual
MS. SHADA A DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9228 THUNDERBOLT DR, JACKSONVILLE, FL 32221-8052
(904) 365-0105
Mailing address
9228 THUNDERBOLT DR, JACKSONVILLE, FL 32221-8052
(904) 365-0105
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
08/10/2019
Last updated
08/10/2019
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