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Individual

SHENICKE POWELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
902 TOMAHAWK CT # 1, TALLAHASSEE, FL 32304-4096
(850) 901-3780
Mailing address
902 TOMAHAWK CT # 1, TALLAHASSEE, FL 32304-4096
(850) 901-3780

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
3747P1801X
Personal Care Attendant
FL
374U00000X
Home Health Aide
FL
376J00000X
Homemaker
376K00000X
Nurse's Aide
Primary
CNA405986
FL

Other

Enumeration date
05/22/2025
Last updated
05/23/2025
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