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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SHANELL VONTRES GRAY

Active Sole Proprietor

SHANELL VONTRES GRAY is a Homemaker healthcare provider located in EAGLE LAKE, Florida. NPI 1447028220 is currently active in the NPPES registry. Verify at CMS.

Homemaker · EAGLE LAKE, FL

Registration Details

NPI Number
1447028220
Provider Type
Individual
Gender
Female
NPI Issued
Dec 12, 2023 (2.490979477765 yrs)
Last Updated
Dec 12, 2023
Sole Proprietor
Yes

Practice Information

Address
237 ST GEORGES CIR
EAGLE LAKE, FL, 338395211
Browse FL providers · Browse ZIP 33839
Phone
8635358954
Primary Specialty
Homemaker
376J00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.