Individual
EMILY DURHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
719 TIMBER TRACE LN APT 107, TITUSVILLE, FL 32780-1944
(321) 557-5539
Mailing address
719 TIMBER TRACE LN APT 107, TITUSVILLE, FL 32780-1944
(321) 557-5539
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
114664
FL
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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