Individual
MIESHA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5521 80TH ST N UNIT 302, ST PETERSBURG, FL 33709-6826
(973) 262-4958
Mailing address
5521 80TH ST N UNIT 302, ST PETERSBURG, FL 33709-6826
(973) 262-4958
Taxonomy
Speciality
Code
Description
License number
State
332U00000X
Home Delivered Meals
—
FL
332U00000X
Home Delivered Meals
Primary
—
—
Other
Enumeration date
01/03/2019
Last updated
01/03/2019
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