Wallace, Shannon

Wallace, Shannon is an individual health care provider with primary practice located at 636 Candyce Ave , Lakeland FL 33815-1202. She recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as her primary health care specialty. Wallace, Shannon can be contacted via phone (863) 614-4071.

Contact Information

Primary practice address
636 Candyce Ave Lakeland FL 33815-1202
Phone: (863) 614-4071
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X

Profile Details

NPI number 1750757340
LBN Legal business name Wallace, Shannon
Credentials HOME HEATH AIDE
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 18th, 2015
Last updated Aug 18th, 2015 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers