Individual
SHENITA MCCRIMAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8105
(904) 403-1335
Mailing address
1655 PRUDENTIAL DR, JACKSONVILLE, FL 32207-8105
(904) 403-1335
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2662
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
854248764
—
FL
Enumeration date
04/13/2021
Last updated
04/13/2021
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