Individual
RODNEISHA FAIR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 W CHESTNUT ST UNIT 812, TAMPA, FL 33607-4439
(813) 858-6932
Mailing address
1315 OAKFIELD DR # 752, BRANDON, FL 33511-4852
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA388648
FL
Other
Enumeration date
06/11/2024
Last updated
06/11/2024
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