Individual
VENEKA UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
518 NE TAYLOR AVE, LAKE CITY, FL 32055-2909
(386) 288-3725
Mailing address
518 NE TAYLOR AVE, LAKE CITY, FL 32055-2909
(386) 288-3725
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
275473
FL
Other
Enumeration date
05/21/2014
Last updated
05/21/2014
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