Individual
LENISE VALMA THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
109 JUNIPER DRIVE, HAWTHORNE, FL 32640
(352) 481-0404
Mailing address
P.O. BOX 2553, HAWTHORNE, FL 32640
(352) 481-0404
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1197641
FL
372600000X
Adult Companion
PN 1197641
FL
374U00000X
Home Health Aide
PN1197641
FL
376J00000X
Homemaker
PN1197641
FL
376K00000X
Nurse's Aide
PN1197641
FL
Other
Enumeration date
08/29/2007
Last updated
08/29/2007
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