Individual
MRS. ANDREA KATRINA CLAYTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PROVIDER
Contact information
Practice address
4121 NE 15TH ST APT 107, GAINESVILLE, FL 32609-2061
(352) 213-5624
(352) 451-4914
Mailing address
4121 NE 15TH ST APT 107, GAINESVILLE, FL 32609-2061
(352) 213-5624
(352) 451-4914
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
39971191
FL
251S00000X
Community/Behavioral Health Agency
39971191
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39971191
AGENCY FOR HEALTH CARE ADMINISTRATION
FL
Enumeration date
01/03/2008
Last updated
03/24/2020
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