Individual
CHAVANNIE EKHATOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2258 WARWICK RD, MELBOURNE, FL 32935-3714
(321) 615-2177
Mailing address
2258 WARWICK RD, MELBOURNE, FL 32935-3714
(321) 615-2177
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/03/2023
Last updated
02/03/2023
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