Individual
CINDY LOLLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17994 NE SR 69, BLOUNTSTOWN, FL 32424-1071
(850) 674-1025
Mailing address
17994 NE SR 69, BLOUNTSTOWN, FL 32424-1071
(850) 674-1025
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
12601
FL
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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