Shanta Devaughn

NPI #1114725611 in Crystal River, Florida

Provider Information

NPI Number: 1114725611
Entity Type: Individual
Name: Shanta Devaughn
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Home Health Aide
Enumeration Date: Mar 3, 2025
Last Updated: Mar 3, 2025

Practice Location

Address: 846 N GRIFFITH AVE
City: Crystal River
State: Florida
ZIP Code: 34429-7669
Phone: (352) 302-6468

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Home Health Aide	374U00000X	Primary

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