Individual
MS. SHONDELL CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
402 ABIGAIL RD, PLANT CITY, FL 33563-8505
(813) 360-6958
Mailing address
402 ABIGAIL RD, PLANT CITY, FL 33563-8505
(813) 360-6958
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5176250
FL
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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