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Individual

SHENA WRIGHT EMMANUEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12401 ORANGE DR, SUITE 219, DAVIE, FL 33330-4341
(954) 862-1707
Mailing address
1540 NW 7TH TER, FORT LAUDERDALE, FL 33311-5532
(954) 873-7932

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
08/19/2011
Last updated
08/19/2011
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