SHANNON MARIE WHITAKER

BARTOW, FL
NPI1689033144
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5224167)
Enumeration Date2016-02-12
Last Update Date2016-02-12
Business Address
-- SHANNON MARIE WHITAKER LPN
1239 E MAIN ST
BARTOW, FL 33830-5058
Phone number: 863-519-0575
Mailing Address
-- SHANNON MARIE WHITAKER LPN
PO BOX 1559
BARTOW, FL 33831-1559
Phone number: 863-519-0575
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