SHANTAVIA CHANEL CARTER

JACKSONVILLE, FL
NPI1881016996
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy222Q00000X Developmental Therapist
Enumeration Date2014-01-08
Last Update Date2014-01-08
Business Address
-- SHANTAVIA CHANEL CARTER
12276 SAN JOSE BLVD 580
JACKSONVILLE, FL 32223-8628
Phone number: 904-886-3228
Mailing Address
-- SHANTAVIA CHANEL CARTER
12276 SAN JOSE BLVD 580
JACKSONVILLE, FL 32223-8628
Phone number: 904-886-3228
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