Individual
WANDA DENISE MCNAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 W CYPRESS CREEK RD STE 302N, FORT LAUDERDALE, FL 33309-1950
(954) 709-5720
Mailing address
1500 NW 56TH AVE, LAUDERHILL, FL 33313-5455
(954) 709-5720
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
31954
—
FL
Enumeration date
10/13/2022
Last updated
10/13/2022
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