Individual
CHA'SANI MIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3535 ROBERTS AVE LOT 232, TALLAHASSEE, FL 32310-5045
(850) 933-2362
Mailing address
3535 ROBERTS AVE LOT 232, TALLAHASSEE, FL 32310-5045
(850) 933-2362
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
03/16/2021
Last updated
03/16/2021
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