Individual
SHIANA MONIQUE DESANGES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1319 RAIN FOREST LN, MINNEOLA, FL 34715-5623
(352) 346-7744
(352) 732-8884
Mailing address
1319 RAIN FOREST LN, MINNEOLA, FL 34715-5623
(352) 346-7744
(352) 732-8884
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015673700
—
FL
Enumeration date
07/05/2020
Last updated
09/15/2021
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