Shacola Bridges

NPI #1174163687 in Winter Haven, Florida

Provider Information

NPI Number: 1174163687
Entity Type: Individual
Name: Shacola Bridges
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Homemaker
Enumeration Date: Jan 13, 2020
Last Updated: Jan 13, 2020

Practice Location

Address: 4765 OSPREY WAY
City: Winter Haven
State: Florida
ZIP Code: 33881-9105
Phone: (954) 865-4809

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Homemaker	376J00000X	Primary

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