Individual
EBONY FELDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1324 NW 16TH AVE APT 59, GAINESVILLE, FL 32605
(352) 327-6472
Mailing address
1324 NW 16TH AVE APT 59, GAINESVILLE, FL 32605-4053
(352) 327-6472
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
117745
FL
Other
Enumeration date
10/07/2014
Last updated
10/07/2014
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