Shantavis Shantrell Fayson
Shantavis Shantrell Fayson is a Licensed Practical Nurse in Gainesville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2022
Practice location Address checks out
2802 NE 53rd Ct # 194Gainesville, FL 32609-2625
Phone: (850) 933-1399
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Licensed Practical Nurse (primary) | Taxonomy 164W00000X · Licence 5242314 (FL) |
|---|
Record details
| NPI number | 1992466171 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | January 10, 2022 |
| Last updated in NPPES | January 10, 2022 |
| Certification date | January 10, 2022 |
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