Individual
LILLIAN THERESA MERIDETH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
931 WILD PINE RD, MIMS, FL 32754-6211
(407) 242-8048
Mailing address
931 WILD PINE RD, MIMS, FL 32754-6211
(407) 242-8048
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA 192499
FL
Other
Enumeration date
08/30/2013
Last updated
08/30/2013
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