Individual
MILLICENT HATTIE WILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
7016 SW 128TH ST, OCALA, FL 34473-2957
(352) 454-1633
Mailing address
7016 SW 128TH ST, OCALA, FL 34473-2957
(352) 454-1633
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA48600
FL
Other
Enumeration date
09/08/2008
Last updated
09/08/2008
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