Individual
CHANTAI ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
112 DEER SONG DR, WINTER SPRINGS, FL 32708-5810
(407) 712-4509
Mailing address
112 DEER SONG DR, WINTER SPRINGS, FL 32708-5810
(407) 712-4509
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5209242
FL
Other
Enumeration date
07/09/2020
Last updated
07/09/2020
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