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Individual

ANDRESA DAVONNE LOFTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
217 S 3RD ST, DANVILLE, KY 40422-1823
(859) 712-7072
Mailing address
463 S 3RD ST, DANVILLE, KY 40422-2002
(270) 321-0732

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
50252578
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
50252578
LICENSE
KY
Enumeration date
01/17/2023
Last updated
01/17/2023
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