Individual
OTASHA SHEMIKA SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 344-0063
(754) 229-8852
Mailing address
9039 NW 20TH MNR, CORAL SPRINGS, FL 33071-6138
(954) 344-0063
(754) 229-8852
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
—
—
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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