Individual
MRS. CHARON DENICE DE LA PENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
937 SW 19TH AVENUE RD, OCALA, FL 34471-2046
(352) 867-1226
Mailing address
12861 SW 38TH CIR, OCALA, FL 34473-2718
(352) 307-3908
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 89244
FL
Other
Enumeration date
03/20/2009
Last updated
03/20/2009
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