Individual
MISS TAVIA NIKASHA BRUCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1820 N CONGRESS AVE, APT E107, WEST PALM BEACH, FL 33401-8202
(561) 201-1409
Mailing address
1820 N CONGRESS AVE, APT E107, WEST PALM BEACH, FL 33401-8202
(561) 201-1409
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
CNA233580
FL
3747A0650X
Attendant Care Provider
CNA233580
FL
3747P1801X
Personal Care Attendant
CNA233580
FL
374U00000X
Home Health Aide
Primary
CNA233580
FL
376J00000X
Homemaker
CNA233580
FL
376K00000X
Nurse's Aide
CNA233580
FL
Other
Enumeration date
03/29/2011
Last updated
03/29/2011
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