Shawana Boyer
Contractor in Jacksonville, FL. Individual provider (NPI-1).
NPI number1134838105
StatusActive
Last updated in NPPESNov 18, 2022
Details
- NPI
- 1134838105
- Entity type
- Individual (NPI-1)
- Name
- Shawana Boyer
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 18, 2022
- Certification date
- Nov 18, 2022
- Last updated
- Nov 18, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171W00000X | Contractor | – | – | Yes |
Practice location
4931 Donnybrook AveJacksonville, FL 32208-7603
Phone 904-330-4114
Mailing address
8654 Tristan DrJacksonville, FL 32210-9634
Phone 904-330-4114
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