Individual
ANNALISA H SHIWBALAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13968 WINEBERRY DR, DADE CITY, FL 33525-5960
(813) 618-6198
Mailing address
13968 WINEBERRY DR, DADE CITY, FL 33525-5960
(813) 618-6198
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN9608541
FL
Other
Enumeration date
01/28/2025
Last updated
01/28/2025
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