Individual
SHAVIA BERKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1802 CONCORD CIR APT H, KISSIMMEE, FL 34741-3464
(352) 871-4613
Mailing address
PO BOX 421071, KISSIMMEE, FL 34742-1071
(352) 871-4613
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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