SHANNON IRENE DEPENZA

JACKSONVILLE, FL
NPI1578391058
Professional NameSHANNON IRENE DEPENZA
Entity TypeIndividual
GenderN/A
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
(Licence: FL  RN3298632)
Enumeration Date2024-07-25
Last Update Date2024-07-25
Business Address
Mrs. SHANNON IRENE DEPENZA CCM
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-9947
Mailing Address
Mrs. SHANNON IRENE DEPENZA CCM
2080 CHILD ST
JACKSONVILLE, FL 32214-5005
Phone number: 904-542-9947
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