Individual
MISS TONNEKIA ROCHELLE YOUNGBLOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
Mailing address
2801 NE 52ND ST UNIT 184, GAINESVILLE, FL 32609-5611
(352) 672-8913
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
11/04/2014
Last updated
11/04/2014
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