Individual
SHANTELL WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11325 COLORADO AVE APT 263, KANSAS CITY, MO 64137-2668
(402) 541-4509
Mailing address
6767 FALLS CHASE LN, JACKSONVILLE, FL 32244-3744
(402) 541-4509
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376K00000X
Nurse's Aide
Primary
CNA421645
FL
Other
Enumeration date
10/05/2023
Last updated
10/05/2023
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