Individual
SHANNON DEBIQUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12401 ORANGE DR, SUITE 219, DAVIE, FL 33330-4341
(954) 862-1707
Mailing address
10717 S PRESERVE WAY, APT. 306, MIRAMAR, FL 33025-6555
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/01/2013
Last updated
02/01/2013
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