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Shandell Wallace
NPI 1154109668 · on the registry since 2023 · sole proprietor
Practice
- Address
- 7101 Nw 49th Ct
Lauderhill, FL 33319 - Phone
- (678) 675-3512
Registry record
- Primary taxonomy
- Adult Companion
372600000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-09-18
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida