Individual
DAVINIA MAPLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12833 SUGAR CT, GRAND ISLAND, FL 32735-8978
(352) 434-8913
Mailing address
12833 SUGAR CT, GRAND ISLAND, FL 32735-8978
(352) 434-8913
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
—
—
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
10/23/2023
Last updated
10/31/2023
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