Individual
SHANIECE PATACER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4160 ROSEWOOD AVE, MALABAR, FL 32950-4339
(321) 987-8092
Mailing address
4160 ROSEWOOD AVE, MALABAR, FL 32950-4339
(321) 987-8092
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/15/2016
Last updated
11/15/2016
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