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Individual

MISS LISA INEZ FEDDIMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
HOME HEALTH AIDE

Contact information

Practice address
6651 SHARPTOWN RD, LAUREL, DE 19956-4147
(302) 604-1058
Mailing address
6651 SHARPTOWN RD, LAUREL, DE 19956-4147
(302) 604-1058

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide

Other

Enumeration date
08/11/2021
Last updated
08/24/2021
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