Individual
SONYA BRANCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 EMMA ST, LAKELAND, FL 33815-1418
(863) 513-7873
(863) 606-1420
Mailing address
616 EMMA ST, LAKELAND, FL 33815-1418
(863) 513-7873
(863) 606-1420
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
235948
FL
376K00000X
Nurse's Aide
Primary
—
—
385H00000X
Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022103500
—
FL
Enumeration date
10/12/2017
Last updated
07/28/2020
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