Individual
SHACOYA LONGWOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1010 E CENTRAL AVE APT 4, WEBSTER, FL 33597-4521
(352) 306-1830
Mailing address
1010 E CENTRAL AVE APT 4, WEBSTER, FL 33597-4521
(352) 306-1830
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
189433
FL
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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