Individual
LATUANA SADIQUA EDMEADE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
48 SELMA TRL, PALM COAST, FL 32164-5447
(386) 569-3525
Mailing address
48 SELMA TRL, PALM COAST, FL 32164-5447
(386) 569-3525
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006282800
—
FL
Enumeration date
11/25/2017
Last updated
11/25/2017
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