Samantha Latoya Shaw
Samantha Latoya Shaw is a Home Delivered Meals in Port St Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
357 SW Log DrPort St Lucie, FL 34953-7501
Phone: (772) 274-3320
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Home Delivered Meals (primary) | Taxonomy 332U00000X · Licence 238034 (FL) |
|---|---|
| Home Delivered Meals | Taxonomy 332U00000X |
Record details
| NPI number | 1427876069 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 2, 2024 |
| Last updated in NPPES | October 2, 2024 |
| Certification date | October 2, 2024 |