Individual
SHAKITTA JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10879 LANTANA CRST, CLERMONT, FL 34711-8990
(321) 276-5054
Mailing address
2311 GRIFFIN RD APT B7, LEESBURG, FL 34748-3348
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
17401
FL
Other
Enumeration date
10/17/2019
Last updated
10/17/2019
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