Individual
FAREEDA RAHAMATULLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1222 SE 47TH ST STE 309, CAPE CORAL, FL 33904-9661
(239) 217-7637
Mailing address
1222 SE 47TH ST STE 309, CAPE CORAL, FL 33904-9661
(239) 217-7637
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
234493
FL
372600000X
Adult Companion
234493
FL
376J00000X
Homemaker
Primary
234493
FL
Other
Enumeration date
03/13/2017
Last updated
03/13/2017
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