Individual
SHONTRELL DENISE CORKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2915 JACKSON ST APT 3, HOLLYWOOD, FL 33020-4755
(954) 662-9447
(954) 923-4926
Mailing address
2241 N MONROE ST, TALLAHASSEE, FL 32303-4731
(954) 662-9447
(954) 923-4926
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/13/2016
Last updated
04/29/2023
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