Individual
CHRISANA LATAE SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2995 EAGLE NEST VIEW DR, WINTER HAVEN, FL 33881-3220
(863) 514-7501
Mailing address
2995 EAGLE NEST VIEW DR, WINTER HAVEN, FL 33881-3220
(863) 514-7501
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
101533400
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101533400
—
FL
Enumeration date
05/12/2020
Last updated
05/12/2020
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