Shasta Cantina Ware

NPI #1710565957 in Hastings, Florida

Provider Information

NPI Number
1710565957
Entity Type
Individual
Name
Shasta Cantina Ware
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Home Health
Enumeration Date
Mar 30, 2021
Last Updated
Mar 30, 2021

Practice Location

Address
303 WARE LANE
State
Florida
ZIP Code
32145-3214
Phone
(904) 692-1131

Specialties & Taxonomy Codes

Specialty
Home Health

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