Individual
MRS. CARLENE NATASHA SAPP KENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2536 HARRY T MOORE AVE, MIMS, FL 32754-3946
(321) 262-3657
Mailing address
2536 HARRY T MOORE AVE # 298, MIMS, FL 32754-3946
(321) 262-3657
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
—
Other
Enumeration date
09/23/2024
Last updated
10/22/2024
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