Individual
MRS. PETRA Y SHAW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1428 E SEMORAN BLVD STE 110, APOPKA, FL 32703-5674
(407) 949-8886
(404) 358-5005
Mailing address
1428 E SEMORAN BLVD STE 110, APOPKA, FL 32703-5674
(407) 949-8886
(404) 358-5005
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
3362262
FL
Other
Enumeration date
04/18/2012
Last updated
04/18/2012
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