SHANNON RACHELLE CARIE

BRANDON, FL
NPI1083968051
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA 9106871)
Enumeration Date2012-10-30
Last Update Date2012-12-11
Business Address
Mrs. SHANNON RACHELLE CARIE PA-C
405 W BLOOMINGDALE AVE
BRANDON, FL 33511-7401
Phone number: 813-662-3376
Mailing Address
Mrs. SHANNON RACHELLE CARIE PA-C
405 W BLOOMINGDALE AVE
BRANDON, FL 33511-7401
Phone number: 813-662-3376
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