SHANIQUE C FALLA

DAVIE, FL
NPI1134811086
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: FL  DO7450)
Enumeration Date2023-05-22
Last Update Date2023-05-22
Business Address
SHANIQUE C FALLA LDO
4301 S UNIVERSITY DR
DAVIE, FL 33328-3002
Phone number: 954-331-3616
Mailing Address
SHANIQUE C FALLA LDO
4301 S UNIVERSITY DR
DAVIE, FL 33328-3002
Phone number: 954-331-3616