Individual
BRENDA GILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7630 SE 120TH CT, MORRISTON, FL 32668-4888
(352) 283-4730
Mailing address
7630 SE 120TH CT, MORRISTON, FL 32668-4888
(352) 283-4730
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
11/20/2019
Last updated
11/20/2019
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