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Individual

JANEEL COLLEEN SHULMISTER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
2703 S FAIRWAY DR, PLANT CITY, FL 33566-0919
(813) 361-8240
Mailing address
2703 S FAIRWAY DR, PLANT CITY, FL 33566-0919
(813) 361-8240

Taxonomy

Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
222Q00000X
FL
Enumeration date
03/02/2019
Last updated
03/02/2019
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