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Individual

ASHLI SHAUNTEL KOONCE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1925 WELCH ST, TALLAHASSEE, FL 32310-5159
(850) 570-6848
Mailing address
1925 WELCH ST, TALLAHASSEE, FL 32310-5159
(850) 575-6035

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
FL
172V00000X
Community Health Worker
FL
2279H0200X
Home Health Registered Respiratory Therapist
FL
246W00000X
Cardiology Technician
FL
251E00000X
Home Health Agency
Primary
FL
253Z00000X
In Home Supportive Care Agency
FL
310400000X
Assisted Living Facility
FL
347C00000X
Private Vehicle
FL
390200000X
Student in an Organized Health Care Education/Training Program
FL

Other

Enumeration date
05/26/2016
Last updated
05/26/2016
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