Individual
STACYANN NADINE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4817 MONTAUK ST, ORLANDO, FL 32808-2753
(407) 230-6402
Mailing address
4817 MONTAUK ST, ORLANDO, FL 32808-2753
(407) 230-6402
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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