Individual
SERENA IDLEBURGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
526 W 13TH ST, LAKELAND, FL 33805-3670
(863) 209-0264
Mailing address
526 W 13TH ST, LAKELAND, FL 33805-3670
(863) 209-0264
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
04/09/2025
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