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MS. CHARTESHIA T LEONARD
>> Nurse's Aide >> Nursing Service Related ProvidersRegistrant NPI Number: 1013597772
Individual Registrant:MS. CHARTESHIA T LEONARD
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
110 SWEETGUM RD EAST PALATKA, FL 32131-4203 US
Tel: 386-538-4620 Fax: --
Tel: 386-538-4620 Fax: --
Contact information for business:
110 SWEETGUM RD EAST PALATKA, FL 32131-4203 US
Tel: 386-538-4620 Fax: --
Tel: 386-538-4620 Fax: --
Registration Information:
NPI: 1013597772
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 376K00000X | Nursing Service Related Providers Nurse's Aide | ||
| N | 251E00000X | Agencies Home Health | ||
| Y | 164W00000X | Nursing Service Providers Licensed Practical Nurse | FL | PN5243094 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
