Individual
PRINCESS POWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7250 BRUNER ST, PENSACOLA, FL 32526-3100
(850) 503-1227
Mailing address
7250 BRUNER ST, PENSACOLA, FL 32526-3100
(850) 503-1227
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
234933
FL
376J00000X
Homemaker
234933
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021906800
—
FL
Enumeration date
05/09/2018
Last updated
05/09/2018
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