Individual
KHIAUNA HEATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4129 ALPINE DR, GAINESVILLE, FL 32605-1686
(352) 215-4496
Mailing address
4129 ALPINE DR, GAINESVILLE, FL 32605-1686
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
275330
FL
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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