Individual
SHANICE CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2600
(509) 342-5479
Mailing address
800 CALLOWAY LN, MELBOURNE, FL 32901-7100
(253) 218-9533
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5253911
FL
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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