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Shasta Ware

NPI 1710565957 · on the registry since 2021 · sole proprietor

Practice

Address
303 Ware Lane
Hastings, FL 32145
Phone
(904) 692-1131
Fax
(904) 692-3856

Registry record

Primary taxonomy
251E00000X
251E00000X
Licence states on file
FL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-03-30

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