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Individual

ASHUKI S DENIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
121 E GATEWAY BLVD STE 220, BOYNTON BEACH, FL 33435-1950
(561) 385-2793
Mailing address
121 E GATEWAY BLVD STE 220, BOYNTON BEACH, FL 33435-1950
(561) 385-2793

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
374U00000X
Home Health Aide
Primary
6906932
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
82-1762749
ADULT FAMILY CARE HOME
FL
Enumeration date
11/22/2010
Last updated
06/16/2018
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