Individual
CHEETARA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPT,CNA
Contact information
Practice address
13616 ASHLAR SLATE PL, RIVERVIEW, FL 33579-2139
(863) 201-0782
Mailing address
13616 ASHLAR SLATE PL, RIVERVIEW, FL 33579-2139
(863) 201-0782
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
374700000X
Technician
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
Primary
CNA356548
FL
Other
Enumeration date
10/31/2022
Last updated
10/31/2022
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