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Individual

SHAUNINA MARIE MOORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3600 S STATE ROAD 7 STE 241, MIRAMAR, FL 33023-5289
(954) 983-6111
Mailing address
3924 SW 52ND AVE UNIT C5, PEMBROKE PARK, FL 33023-7903
(786) 985-7911

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
374U00000X
Home Health Aide
FL
385H00000X
Respite Care
FL

Other

Enumeration date
03/15/2019
Last updated
03/16/2019
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