Individual
MRS. BERTISHIA LASHANTI MOSLEY
Active
Individual
MRS. BERTISHIA LASHANTI MOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
FL
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
FL
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
FL
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022971400
—
FL
Enumeration date
07/17/2018
Last updated
07/17/2018
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