Individual
LYNDA WILKES DEKOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4110 SW 63RD BLVD, GAINESVILLE, FL 32608-3924
(352) 262-4110
Mailing address
4110 SW 63RD BLVD, GAINESVILLE, FL 32608-3924
(352) 262-4110
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/28/2020
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