Individual
EDNA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18553 KULDIN AVE, PORT CHARLOTTE, FL 33948-7565
(941) 249-2581
Mailing address
18553 KULDIN AVE, PORT CHARLOTTE, FL 33948-7565
(941) 249-2581
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
032016-21
FL
376K00000X
Nurse's Aide
Primary
CNA102001
FL
Other
Enumeration date
10/29/2016
Last updated
10/29/2016
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