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Individual

MS. CHARTESHIA T LEONARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
110 SWEETGUM RD, EAST PALATKA, FL 32131-4203
(386) 538-4620
Mailing address
110 SWEETGUM RD, EAST PALATKA, FL 32131-4203
(386) 538-4620

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5243094
FL
251E00000X
Home Health Agency
376K00000X
Nurse's Aide

Other

Enumeration date
04/08/2021
Last updated
04/08/2021
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