Individual
SHANON LAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6453 WILLMAR AVE, PACE, FL 32571
(229) 234-0062
Mailing address
6453 WILLMAR AVE, PACE, FL 32571
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
FL
Other
Enumeration date
04/29/2021
Last updated
04/29/2021
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