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Individual

KESHEA PERSAUD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
671 ALTAMIRA CIR APT 308, ALTAMONTE SPRINGS, FL 32701-4029
(347) 530-7886
(321) 972-1308
Mailing address
671 ALTAMIRA CIR APT 308, ALTAMONTE SPRINGS, FL 32701-4029
(347) 530-7886
(321) 972-1308

Taxonomy

Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
P623-500-89-916-0
FL
343900000X
Non-emergency Medical Transport (VAN)
FL

Other

Enumeration date
08/19/2022
Last updated
08/30/2022
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