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Nursing Service Related Providers Technician Personal Care Attendant

Provider NPI: 1811469695

Provider Information:
Gender: M
Sole Proprietor

Practice Location:
Tel: 904-306-9337  Fax: 904-306-9337

Business Mailing Address:
Tel: 904-306-9337  Fax: 904-306-9337

NPI Information:
NPI: 1811469695
Entity Type: Individual


PrimaryCodeCategory/DescriptionStateLicense Number
Y3747P1801XNursing Service Related Providers
Personal Care Attendant

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 3747P1801X





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