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Individual

MRS. ELISE Z SHALLOWAY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN,BC

Contact information

Practice address
7305 N MILITARY TRL, 116/MHC, RIVIERA BEACH, FL 33410-7417
(561) 422-6574
Mailing address
7305 N MILITARY TRL, 116/MHC, RIVIERA BEACH, FL 33410-7417
(561) 422-6574

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
R101317
MD

Other

Enumeration date
07/16/2006
Last updated
07/08/2007
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