Individual
YASHEKIA D'WAN ATMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
105 N LAKESHORE DR, LAKE WALES, FL 33859-8740
(863) 604-3879
Mailing address
105 N LAKESHORE DR, LAKE WALES, FL 33859-8740
(863) 604-3879
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
09/08/2021
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