Individual
MRS. TONISHA KENTY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
121 SIKES DR, CRESTVIEW, FL 32539-3208
(850) 972-9248
Mailing address
121 SIKES DR, CRESTVIEW, FL 32539-3208
(850) 972-9248
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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