NPI 1134838105

Shawana Boyer

Practitioner Contractor Jacksonville, FL

Practice location

Address: 4931 Donnybrook Ave, Jacksonville, FL 32208-7603
Phone: (904) 330-4114
Mailing address: 8654 Tristan Dr, Jacksonville, FL 32210-9634

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X

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Registry record

NPI: 1134838105
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Nov 2022
Record last updated: 18 Nov 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.