Individual
MRS. REBECCA L SHELLEY
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
408 S RIDGEWOOD AVE, DAYTONA BEACH, FL 32114-4928
(386) 236-3261
(386) 236-3135
Mailing address
7 OLD CREEK CIR, ORMOND BEACH, FL 32174-2699
(386) 672-7869
(386) 672-7869
Taxonomy
Speciality
Code
Description
License number
State
163WP0808X
Psychiatric/Mental Health Registered Nurse
Primary
RN 9173615
FL
Other
Enumeration date
07/15/2005
Last updated
07/08/2007
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