Individual
SHONTA HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
303 SE 38TH ST, GAINESVILLE, FL 32641-1934
(727) 768-9180
Mailing address
303 SE 38TH ST, GAINESVILLE, FL 32641-1934
(727) 768-9180
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5187869
FL
Other
Enumeration date
08/02/2014
Last updated
08/02/2014
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