Individual
MRS. SHANAE N TAYLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1551 GLENGARRY RD, JACKSONVILLE, FL 32207-1109
(904) 917-9911
Mailing address
6654 WHISPER GLEN DR E, JACKSONVILLE, FL 32222-2542
(904) 415-5303
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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