Individual
SHAQUETTA RAMBO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
PO BOX 523, LADY LAKE, FL 32158-0523
(352) 348-2516
Mailing address
PO BOX 523, LADY LAKE, FL 32158-0523
(352) 348-2516
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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