Individual
MS. BRENDA CARRICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PERSON CARE ATTENDAN
Contact information
Practice address
116A N. COLLEGE STREET, LEESBURG, FL 34748-2828
(352) 874-2248
Mailing address
116A N. COLLEGE STREET, LEESBURG, FL 34748-2828
(352) 874-2248
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
687587400
—
FL
Enumeration date
04/22/2009
Last updated
04/22/2009
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