Individual
MRS. SHANDRA RENAE HARRIS DONALDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA HHA MEDICAID WAI
Contact information
Practice address
1689 TILLEY AVE, APT A, CLEARWATER, FL 33756
(727) 518-6242
(727) 559-8216
Mailing address
1689 TILLEY AVE, APT A, CLEARWATER, FL 33756
(727) 518-6242
(727) 559-8216
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
117003
FL
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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