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Individual

ALPHA DILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3719 NE 14TH ST, GAINESVILLE, FL 32609-2452
(352) 339-8109
Mailing address
3719 NE 14TH ST, GAINESVILLE, FL 32609-2452
(352) 339-8109

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
CNA 258943
FL
376J00000X
Homemaker
CNA 258943
FL
376K00000X
Nurse's Aide
Primary
CNA 258943
FL

Other

Enumeration date
01/13/2016
Last updated
01/13/2016
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