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Individual

TATHESIA COKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
4619 LEONARD BLVD S, LEHIGH ACRES, FL 33973-6196
(239) 298-1068
Mailing address
4617/4619 LEONARD BLVD SOUTH, LEHIGH ACRES, FL 33973
(239) 298-1068

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary

Other

Enumeration date
05/21/2021
Last updated
05/21/2021
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