Individual
TIKEYRA LACHELLE BALLET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
960 NW 56TH AVE, OCALA, FL 34482-5148
(352) 895-9984
Mailing address
960 NW 56TH AVE, OCALA, FL 34482-5148
(352) 895-9984
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
02/16/2023
Last updated
02/16/2023
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