Individual
MRS. SHAWN DESIREE FLOYD I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
212 ADAMS CT, POTTERVILLE, MI 48876-9501
(517) 599-0425
(419) 492-9506
Mailing address
212 ADAMS CT, POTTERVILLE, MI 48876-9501
(517) 599-0425
(419) 492-9506
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
4703109919
MI
164W00000X
Licensed Practical Nurse
PN113942
OH
Other
Enumeration date
03/13/2007
Last updated
08/28/2013
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