Individual
SHANA SHALAWN DORTCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4302 HOLLYWOOD AVE, PENSACOLA, FL 32505-3859
(850) 776-6762
Mailing address
4302 HOLLYWOOD AVE, PENSACOLA, FL 32505-3859
(850) 776-6762
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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