Individual
SHANTASHA MORANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15735 SW 52ND AVENUE RD, OCALA, FL 34473-3149
(352) 299-7634
Mailing address
15735 SW 52ND AVENUE RD, OCALA, FL 34473-3149
(352) 299-7634
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN526421
FL
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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