Individual
MRS. PEQUILLA SEEDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3434 KNIGHTS STATION RD, LAKELAND, FL 33810-2517
(863) 308-7195
Mailing address
2899 DUNHILL CIR, LAKELAND, FL 33810-2075
(863) 308-7195
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
9334857
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9334857
RN
FL
Enumeration date
04/22/2021
Last updated
04/22/2021
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