Individual
CARRIE ELLEN PRESCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5348 HABURN ST, CRESTVIEW, FL 32539-6946
(910) 574-1798
Mailing address
5348 HABURN ST, CRESTVIEW, FL 32539-6946
(910) 574-1798
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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