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SHEMIKA NATASHA MISSICK/SEYMOUR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1418 AVON LN APT 27, NORTH LAUDERDALE, FL 33068-5894
(754) 273-0789
(954) 366-6099
Mailing address
1418 AVON LN APT 27, NORTH LAUDERDALE, FL 33068-5894
(754) 273-0789
(954) 366-6099

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
234839
FL

Other

Enumeration date
02/27/2019
Last updated
02/27/2019
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