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Individual

CHERAIL WINETT WARE-STARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
5514 DELIGHT DR, FORT PIERCE, FL 34947-5469
(413) 333-1359
Mailing address
5514 DELIGHT DR, FORT PIERCE, FL 34947-5469
(413) 333-1359

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
5204170
FL
376K00000X
Nurse's Aide
CNA 105912
FL

Other

Enumeration date
09/06/2007
Last updated
04/15/2023
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