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Laquanta Shanks
NPI 1457852451 · on the registry since 2018 · sole proprietor
Practice
- Address
- 4505 Gilbert St
Jacksonville, FL 32207 - Phone
- (904) 219-7791
Registry record
- Primary taxonomy
- 372600000X
372600000X
- Also registered as
- 251E00000X
251G00000X
372500000X - Sex
- Female
- Record last updated
- 2018-06-16
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