Individual
SOWANDE COMMISSIONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Mailing address
4300 SW 13TH ST, GAINESVILLE, FL 32608-4006
(352) 374-5600
(352) 374-5608
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA208626
FL
Other
Enumeration date
10/01/2010
Last updated
10/01/2010
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