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Individual

MISS AKERIA CHEREZ BETSEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
3034 PROVIDENCE RD, QUINCY, FL 32351-6003
(850) 728-2677
Mailing address
3034 PROVIDENCE RD, QUINCY, FL 32351-6003
(850) 728-2677

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5228090
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
238
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
11/27/2020
Last updated
01/19/2021
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