Individual
MRS. ALISA S WOMBLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PCA
Contact information
Practice address
3342 SW HOSANAH LN, OKEECHOBEE, FL 34974-2218
(772) 597-5021
(772) 597-5021
Mailing address
3342 SW HOSANAH LN, OKEECHOBEE, FL 34974-2218
(772) 597-5021
(772) 597-5021
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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