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Individual

AGATHA JONES

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1306 SEFFNER VALRICO RD, SEFFNER, FL 33584-6159
(813) 651-9532
Mailing address
1306 SEFFNER VALRICO RD, SEFFNER, FL 33584-6159
(813) 651-9532

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
141487900
FL
251E00000X
Home Health Agency
2920
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
745223349
FL
Enumeration date
08/15/2014
Last updated
08/16/2014
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