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Individual

TISHA WITTY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA

Contact information

Practice address
4300 W LAKE MARY BLVD STE 1010, LAKE MARY, FL 32746-2449
(321) 202-9798
Mailing address
4300 W LAKE MARY BLVD STE 1010, LAKE MARY, FL 32746-2449
(321) 202-9798

Taxonomy

Speciality
Code
Description
License number
State
372600000X
Adult Companion
CNA44093
FL
374U00000X
Home Health Aide
Primary
CNA44093
FL

Other

Enumeration date
06/05/2025
Last updated
06/05/2025
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