Individual
ANISSA SORRELL BUTLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
435 FOREST DR N, HAVANA, FL 32333-6073
(850) 875-1917
Mailing address
435 FOREST DR N, HAVANA, FL 32333-6073
(850) 875-1917
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
04/30/2008
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