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Individual

KATRINA DENISE BATTLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11240 NORTHERN AVE ST 107, LEESBURG, FL 34788
(352) 609-5138
(352) 366-0695
Mailing address
11547 LAKE DR, LEESBURG, FL 34788-4233
(352) 609-5138
(352) 366-0695

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010562300
FL
01
30212515
NURSE REGISTRY
FL
Enumeration date
04/12/2018
Last updated
09/09/2024
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