Individual
JESSICA SHEA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9 DAHLIA CT N, HOMOSASSA, FL 34446-5531
(352) 239-2964
(888) 809-3583
Mailing address
1511 WATER TERRACE LN, BRANDON, FL 33511-1269
(813) 653-2692
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
02/14/2011
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