Individual
SHAKILA MONIQUE OSBORNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2424 NW 21ST ST APT 1, FORT LAUDERDALE, FL 33311-3449
(954) 861-7621
Mailing address
2424 NW 21ST ST APT 1, FORT LAUDERDALE, FL 33311-3449
(954) 861-7621
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/07/2023
Last updated
02/26/2024
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