Individual
SHAVONE SHAMIL SHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4813 ROBBINS AVE, ORLANDO, FL 32808-1980
(321) 315-3504
Mailing address
4813 ROBBINS AVE, ORLANDO, FL 32808-1980
(321) 315-3504
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/27/2022
Last updated
04/27/2022
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