Shamika Lashonda Fernandez

NPI #1548963473 in Douglas, Georgia

Provider Information

NPI Number: 1548963473
Entity Type: Individual
Name: Shamika Lashonda Fernandez
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Contractor
Enumeration Date: Mar 22, 2023
Last Updated: Mar 22, 2023

Practice Location

Address: 702 CRESCENT CIR
City: Douglas
State: Georgia
ZIP Code: 31533-1635
Phone: (904) 652-5916

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Contractor	171W00000X	Primary

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