Individual
SHANICA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 55TH ST, WEST PALM BEACH, FL 33407-2611
(561) 766-3766
Mailing address
729 55TH ST, WEST PALM BEACH, FL 33407-2611
(561) 766-3766
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
CNA320561
FL
3747P1801X
Personal Care Attendant
Primary
CNA320561
FL
376J00000X
Homemaker
CNA320561
FL
376K00000X
Nurse's Aide
CNA320561
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019725500
—
FL
Enumeration date
01/12/2017
Last updated
03/13/2017
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