Individual
VELMA WIZZARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4034 SW HAYCROFT ST, PORT SAINT LUCIE, FL 34953-7203
(772) 418-7603
Mailing address
4034 SW HAYCROFT ST, PORT SAINT LUCIE, FL 34953-7203
(772) 418-7603
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
239827
FL
Other
Enumeration date
05/16/2024
Last updated
08/15/2024
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