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Individual

MS. HILDEGARD RUTH EHLERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2209 UTOPIAN DR E, APART. 207, CLEARWATER, FL 33763-4259
(727) 723-2398
Mailing address
2209 UTOPIAN DR E, APART. 207, CLEARWATER, FL 33763-4259
(727) 723-2398

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
688046102
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
688046101
MEDICAID WAIVER
FL
05
688046102
FL
Enumeration date
02/09/2011
Last updated
02/09/2011
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