Individual
SHAKIA FANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2214 MANGO AVE, HAINES CITY, FL 33844-4532
(863) 588-5879
Mailing address
2214 MANGO AVE, HAINES CITY, FL 33844-4532
(863) 588-5879
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
12/14/2020
Last updated
11/02/2022
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