SHASHONK ILLAM

JACKSONVILLE, FL
NPI1104432228
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-09-23
Last Update Date2024-07-05
Business Address
Dr. SHASHONK ILLAM Psy.D.
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8202
Phone number: 904-202-8000
Mailing Address
Dr. SHASHONK ILLAM Psy.D.
800 PRUDENTIAL DR
JACKSONVILLE, FL 32207-8211
Phone number: 904-202-8000
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