Individual
ELENA T TUDOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1921 FLETCHER ST, HOLLYWOOD, FL 33020-6315
(954) 662-4719
Mailing address
1921 FLETCHER ST, HOLLYWOOD, FL 33020-6315
(954) 662-4719
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
229629
FL
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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