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COURTNEY B'NAI SUMMERVILLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CEO

Contact information

Practice address
11422 TULANE ST, NEW PORT RICHEY, FL 34654-2301
(813) 459-1012
Mailing address
PO BOX 611, LAND O LAKES, FL 34639-0611
(813) 459-1012

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
239016
FL

Other

Enumeration date
03/10/2023
Last updated
03/10/2023
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