Individual
SHALETHA DELOATCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
30341 SW 157TH AVE, HOMESTEAD, FL 33033-3518
(786) 584-8800
Mailing address
815 N HOMESTEAD BLVD # 205, HOMESTEAD, FL 33030-5024
(786) 584-8800
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
FL
Other
Enumeration date
10/24/2022
Last updated
10/28/2022
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