Individual
MRS. SHIRLEY MCMILLAN-TINDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1915 WYOMING AVE, FORT PIERCE, FL 34982-5636
(772) 672-1890
(772) 252-4477
Mailing address
1915 WYOMING AVE, FORT PIERCE, FL 34982-5636
(772) 672-1890
(772) 252-4477
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA106017
FL
Other
Enumeration date
07/25/2019
Last updated
07/25/2019
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