Individual
VIOLA NEALY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SOLO PROPIETOR
Contact information
Practice address
3909 RESERVE DR APT 1422, TALLAHASSEE, FL 32311-1283
(850) 363-7470
Mailing address
3909 RESERVE DR APT 1422, TALLAHASSEE, FL 32311-1283
(850) 363-7470
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
236998
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106861800
—
FL
Enumeration date
03/09/2021
Last updated
03/09/2021
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