Individual
NICOLE LATRESE DOWNING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1216 TEMPLE CIRCLE, HAINES CITY, FL 33844-3384
(863) 207-9273
Mailing address
1216 TEMPLE CIR, HAINES CITY, FL 33844-6157
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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