Individual
XIKERRIYAH E SHANKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6710 COLLINS RD APT 705, JACKSONVILLE, FL 32244-5876
(904) 403-5992
Mailing address
6710 COLLINS RD APT 705, JACKSONVILLE, FL 32244-5876
(904) 403-5992
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/29/2022
Last updated
12/27/2022
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