Individual
GWENDA CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2180 FOSTER DR, TALLAHASSEE, FL 32303-8320
(850) 459-6108
Mailing address
2180 FOSTER DR, TALLAHASSEE, FL 32303-8320
(850) 459-6108
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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