Individual
SCARLETT LIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
10201 VIA COLOMBA CIR, FORT MYERS, FL 33966-6553
(913) 701-4634
Mailing address
10201 VIA COLOMBA CIR, FORT MYERS, FL 33966-6553
(913) 701-4634
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
415307
FL
Other
Enumeration date
10/14/2024
Last updated
10/14/2024
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