Individual
OLNEY TONGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10460 CANAL BROOK LN, LEHIGH ACRES, FL 33936-6628
(239) 491-2574
Mailing address
10460 CANAL BROOK LN, LEHIGH ACRES, FL 33936-6628
(239) 491-2574
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
29792
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
853946493
—
FL
Enumeration date
03/08/2021
Last updated
03/08/2021
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