Individual
RAY CARLA PENNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4278 WHISTLEWOOD CIR, LAKELAND, FL 33811-3052
(718) 807-6252
Mailing address
4278 WHISTLEWOOD CIR, LAKELAND, FL 33811-3052
(718) 807-6252
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/10/2019
Last updated
10/10/2019
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