Individual
SHERLINE LAINE SALMON SALMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
366 ORISTA DR, DAVENPORT, FL 33897-9542
(407) 502-9798
Mailing address
366 ORISTA DR, DAVENPORT, FL 33897-9542
(407) 502-9798
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
374U00000X
Home Health Aide
CNA372924
FL
376G00000X
Nursing Home Administrator
171245510
FL
376G00000X
Nursing Home Administrator
—
—
376K00000X
Nurse's Aide
CNA372924
FL
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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