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Individual

JANESHA THORNTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
20255 HAMILTON AVE, PORT CHARLOTTE, FL 33952-2208
(941) 585-8885
Mailing address
20255 HAMILTON AVE, PORT CHARLOTTE, FL 33952-2208
(941) 585-8885

Taxonomy

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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
020862700
FL
Enumeration date
04/28/2022
Last updated
04/28/2022
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