Individual
MRS. TELISHA BOGGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1992 LEWIS TURNER BLVD STE 1067112, FORT WALTON BEACH, FL 32547-1255
(850) 296-2952
Mailing address
1992 LEWIS TURNER BLVD STE 1067112, FORT WALTON BEACH, FL 32547-1255
(850) 296-2952
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA200986
FL
Other
Enumeration date
02/21/2022
Last updated
02/21/2022
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