Individual
SHANNON TUIMALEALIIFANO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8424 BLUEVINE SKY DR, LAND O LAKES, FL 34637-7651
(910) 489-1513
Mailing address
8424 BLUEVINE SKY DR, LAND O LAKES, FL 34637-7651
(910) 489-1513
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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