Individual
CECILIA V CLAXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2638 WESTSIDE AVE SE, PALM BAY, FL 32909-7678
(321) 953-2590
(321) 674-1566
Mailing address
PO BOX 100888, PALM BAY, FL 32910-0888
(321) 987-1524
(321) 674-1566
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
120396
FL
Other
Enumeration date
07/19/2021
Last updated
07/19/2021
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