Individual
MRS. NALEENEE TRADER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3091 NW 43RD ST, LAUDERDALE LAKES, FL 33309-4310
(954) 777-5167
(954) 733-1167
Mailing address
3091 NW 43RD ST, LAUDERDALE LAKES, FL 33309-4310
(954) 777-5167
(954) 733-1167
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
AL10631
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140626400
—
FL
Enumeration date
10/28/2014
Last updated
10/28/2014
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