Individual
SHANDON LUCIANNA BENJAMIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1837 N PEARL ST, JACKSONVILLE, FL 32206-3663
(904) 339-3505
Mailing address
1837 N PEARL ST, JACKSONVILLE, FL 32206-3663
(904) 339-3505
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
Primary
SEA2615756
FL
Other
Enumeration date
07/13/2026
Last updated
07/13/2026
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