Individual
SHANINE VACA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
23039 WATERGATE CIR, BOCA RATON, FL 33428-5627
(561) 900-8813
Mailing address
23039 WATERGATE CIR, BOCA RATON, FL 33428-5627
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
7395
FL
Other
Enumeration date
02/22/2025
Last updated
02/22/2025
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