SHANACE ISAAC

HASTINGS, FL
NPI1902556103
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: FL  PN5252077)
Enumeration Date2022-03-28
Last Update Date2022-04-01
Business Address
SHANACE ISAAC LPN
629 DANIELS ST
HASTINGS, FL 32145-3201
Phone number: 904-293-5395
Mailing Address
SHANACE ISAAC LPN
PO BOX 101
HASTINGS, FL 32145-0101
Phone number:
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