Individual
LAFREDA DENIECE GAVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
871 NW 6TH ST, WEBSTER, FL 33597-4095
(352) 569-7353
Mailing address
871 NW 6TH ST, WEBSTER, FL 33597-4095
(352) 569-7353
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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