Individual
KATY ANN NICOLA WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
118 E EVANS ST, ORLANDO, FL 32804-3926
(321) 370-8302
Mailing address
118 E EVANS ST, ORLANDO, FL 32804-3926
(321) 370-8302
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
279209
FL
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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