Individual
SHONNA MONIQUE MALLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3600 LINKWOOD ST, NEW PORT RICHEY, FL 34652-6230
(727) 255-4717
Mailing address
3600 LINKWOOD ST, NEW PORT RICHEY, FL 34652-6230
(727) 255-4717
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
L2300011014
FL
Other
Enumeration date
05/04/2023
Last updated
05/04/2023
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