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Individual

MISS SHASTA MICHELLE BYRD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
91 SURF DR, WINTER HAVEN, FL 33880-5756
(863) 325-8424
Mailing address
2726 OLD EAGLE LAKE WINTER HAVEN RD, LOT 4, EAGLE LAKE, FL 33839-5402
(863) 595-6865

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
156966
FL

Other

Enumeration date
08/20/2010
Last updated
08/20/2010
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