Individual
BARBARA MARIE ENGELKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NHA, CNA
Contact information
Practice address
1279 KINGSLEY AVE, SUITE 107, ORANGE PARK, FL 32073-4603
(904) 592-7736
(904) 602-5328
Mailing address
1279 KINGSLEY AVE, SUITE 107, ORANGE PARK, FL 32073-4603
(904) 592-7736
(904) 602-5328
Taxonomy
Speciality
Code
Description
License number
State
376G00000X
Nursing Home Administrator
Primary
NH4902
FL
376K00000X
Nurse's Aide
CNA313966
FL
Other
Enumeration date
05/22/2015
Last updated
08/10/2015
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