Individual
LETECIA JAMES SAMUELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12620 BELROSE AVE, ORLANDO, FL 32837-8566
(407) 717-5322
Mailing address
PO BOX 692406, ORLANDO, FL 32869-2406
(407) 433-5720
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
RN9366496
FL
253Z00000X
In Home Supportive Care Agency
234784
FL
Other
Enumeration date
05/25/2017
Last updated
07/21/2022
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