Individual
SHATIGRA MCRAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3837 N CIRCLE DR, HOLLYWOOD, FL 33021-6740
(407) 717-3843
Mailing address
3837 N CIRCLE DR, HOLLYWOOD, FL 33021-6740
(407) 717-3843
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
12/14/2020
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