Individual
MS. ENA BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
155 E IMRIE LN, DUNNELLON, FL 34434-3621
(954) 325-9878
Mailing address
155 E IMRIE LN, DUNNELLON, FL 34434-3621
(954) 325-9878
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
6906185
FL
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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