Individual
MS. JULIETTE EDWINA SHIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 WINDING WAY APT B, LEESBURG, GA 31763-5513
(813) 802-0090
Mailing address
127 WINDING WAY APT B, LEESBURG, GA 31763-5513
(813) 802-0090
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
0014206193
GA
Other
Enumeration date
01/24/2020
Last updated
01/24/2020
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