Individual
MRS. LYDIA A CALLENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3631 SW HAINES ST, PORT ST LUCIE, FL 34953-3883
(201) 410-7184
Mailing address
3631 SW HAINES ST, PORT ST LUCIE, FL 34953-3883
(201) 410-7184
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
000004-2023
FL
Other
Enumeration date
09/05/2023
Last updated
09/05/2023
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