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Individual

MS. SHAUNTAE DICKEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
2019 NATALIE CT, TALLAHASSEE, FL 32305-1954
(850) 322-3967
Mailing address
2019 NATALIE CT, TALLAHASSEE, FL 32305-1954
(850) 322-3967

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5213636
FL
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
08/06/2020
Last updated
03/31/2021
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