Individual
PATRICE POWELL-GACHAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1691 GRANDEFLORA AVE, CLERMONT, FL 34711
(407) 738-7141
(352) 394-8767
Mailing address
1691 GRANDEFLORA AVE, CLERMONT, FL 34711-3471
(407) 738-7141
(352) 394-8767
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA257262
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P422815727530
FLORIDA DRIVER LICENSE
FL
Enumeration date
09/04/2017
Last updated
07/21/2022
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