Individual
GAIL BECKER SHAFNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
344 BRIDLE PATH LN, ORMOND BEACH, FL 32174-7927
(386) 589-3780
Mailing address
344 BRIDLE PATH LN, ORMOND BEACH, FL 32174-7927
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
07/14/2008
Last updated
07/14/2008
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