Individual
ROSALIND BECKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
712 KIRKLIN AVE, PANAMA CITY, FL 32401-4648
(850) 866-2731
Mailing address
712 KIRKLIN AVE, PANAMA CITY, FL 32401-4648
(850) 866-2731
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
141309
FL
376K00000X
Nurse's Aide
141309
FL
Other
Enumeration date
09/21/2016
Last updated
09/26/2016
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