Individual
MRS. MICHELLA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
1941 HOWLAND BLVD, DELTONA, FL 32738-4203
(386) 215-6073
Mailing address
1941 HOWLAND BLVD, DELTONA, FL 32738-4203
(386) 215-6073
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
05/23/2018
Last updated
05/23/2018
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