Individual
MS. BESSIE DENIESE EDWARDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
EDS
Contact information
Practice address
17434 NE 18TH AVE, CITRA, FL 32113-0505
(352) 595-2542
Mailing address
PO BOX 505, 17434 NE 18TH AVENUE, CITRA, FL 32113-0505
(352) 595-2542
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
763190100
—
FL
Enumeration date
05/13/2008
Last updated
05/13/2008
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