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Individual

TINA ROWE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
772 NARRANJA ST UNIT 113, PUNTA GORDA, FL 33950-5696
(239) 478-7781
Mailing address
772 NARRANJA ST UNIT 113, PUNTA GORDA, FL 33950-5696
(239) 478-7781

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
08080263
FL
Enumeration date
04/28/2022
Last updated
04/28/2022
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