Individual
KETLEINE PURICE-ROBERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12841 SW 252ND ST UNIT 102, PRINCETON, FL 33032-9175
(954) 854-0496
Mailing address
12841 SW 252ND ST UNIT 102, PRINCETON, FL 33032-9175
(954) 854-0496
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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