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Individual

GWENVANETTE CROMARTIE

Active
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Individual

GWENVANETTE CROMARTIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
11-88-GH
FL
253Z00000X
In Home Supportive Care Agency
11-431-GH
FL
253Z00000X
In Home Supportive Care Agency
Primary
11-88-GH
FL
253Z00000X
In Home Supportive Care Agency
5113-5-GA
FL

Other

Enumeration date
01/24/2022
Last updated
01/24/2022
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