Individual
MRS. ROSA M STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
6002 VEL ST, WIMAUMA, FL 33598-3021
(813) 808-6952
Mailing address
6002 VEL ST, WIMAUMA, FL 33598-3021
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
FL
Other
Enumeration date
07/17/2020
Last updated
07/17/2020
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