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Individual

SHAWNTA JOSEPH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1737 VIVIAN CT, DELTONA, FL 32725-7680
(407) 844-0613
Mailing address
1737 VIVIAN CT, DELTONA, FL 32725-7680
(407) 844-0613

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
347C00000X
Private Vehicle
372600000X
Adult Companion
376J00000X
Homemaker
385H00000X
Respite Care

Other

Enumeration date
04/06/2019
Last updated
04/06/2019
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