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MRS. SHAQUILLA ADDERLY

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1720678428

Individual Registrant:
MRS. SHAQUILLA  ADDERLY 
Gender: F
Sole Proprietor

Location and contact information for practice:
5771 JOHNSON ST # 3869  HOLLYWOOD, FL 33021-5633 US
Tel: 954-612-0592  Fax: --

Contact information for business:
5771 JOHNSON ST # 3869  HOLLYWOOD, FL 33021-5633 US
Tel: 954-612-0592  Fax: --

Registration Information:
NPI: 1720678428
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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