Individual
DONELA SHILLINGFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6 LINTON PL, PALM COAST, FL 32137-9538
(386) 864-9610
Mailing address
6 LINTON PL, PALM COAST, FL 32137-9538
(386) 864-9610
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
24547
FL
Other
Enumeration date
12/20/2016
Last updated
12/20/2016
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