Individual
SHAUNETTA PATRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1655 N 29TH ST APT 611, FORT PIERCE, FL 34947-1955
(772) 834-1513
Mailing address
1655 N 29TH ST APT 611, FORT PIERCE, FL 34947-1955
(772) 834-1513
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/05/2021
Last updated
11/05/2021
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