Individual
WENDY KAYE FREELAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2690 PROVIDENCE BLVD, DELTONA, FL 32725-1601
(352) 538-3621
Mailing address
2690 PROVIDENCE BLVD, DELTONA, FL 32725-1601
(352) 538-3621
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19036128
LIFE, HEALTH AND ANNUITIES INSURANCE
FL
Enumeration date
04/10/2019
Last updated
04/10/2019
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