Individual
LILWANDA ARLENA DAWSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3744 IMPERIAL DR, WINTER HAVEN, FL 33880-5078
(863) 589-2037
Mailing address
3744 IMPERIAL DR, WINTER HAVEN, FL 33880-5078
(863) 589-2037
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
251E00000X
Home Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/24/2019
Last updated
04/24/2019
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