Individual
MAKEDA LASHERA COCKRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6960 BELFAST AVE, COCOA, FL 32927-3963
(321) 750-2010
Mailing address
6960 BELFAST AVE, COCOA, FL 32927-3963
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/18/2018
Last updated
12/18/2018
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