Individual
BRENDA K STEPHENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
144 CARVER AVE, HAVANA, FL 32333-6318
(850) 320-1433
Mailing address
144 CARVER AVE, HAVANA, FL 32333-6318
(850) 320-1433
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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