SHANTANA BURRELL

PORT SAINT LUCIE, FL
NPI1588129837
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2019-01-31
Last Update Date2019-01-31
Business Address
SHANTANA BURRELL
2632 SW PORT ST LUCIE BLVD
PORT SAINT LUCIE, FL 34953-2845
Phone number: 954-540-7002
Mailing Address
SHANTANA BURRELL
1258 SW SAN ANTONIO AVE
PORT ST LUCIE, FL 34953-4837
Phone number: 954-540-7002