Individual
SHALONDRIA BOSTIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1575 52ND AVE N, 3 YEARS, ST PETERSBURG, FL 33703-2629
(727) 550-7257
Mailing address
1575 52ND AVE N, 3 YEARS, ST PETERSBURG, FL 33703-2629
(727) 550-7257
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906812
FL
Other
Enumeration date
02/02/2016
Last updated
02/02/2016
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