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Individual

JULIE INDEPENDENCE TOMCHAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CNA/LNA/PCT

Contact information

Practice address
7805 US HIGHWAY LOT 29 # 98 N, LAKELAND, FL 33809
(603) 491-2415
Mailing address
7805 US HIGHWAY LOT 29 # 98 N, LAKELAND, FL 33809
(603) 491-2415

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
000000009281MT
ID
376K00000X
Nurse's Aide
046617-24
NH
376K00000X
Nurse's Aide
340591
MT
376K00000X
Nurse's Aide
Primary
384331
FL
376K00000X
Nurse's Aide
CNA34744
MA

Other

Enumeration date
11/26/2019
Last updated
11/26/2019
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