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TRACY DENISE WHEELER CNA/ HHA

>> Community Health Worker >> Other Service Providers

Registrant NPI Number: 1003053919

Individual Registrant:
 TRACY DENISE WHEELER CNA/ HHA
Gender: F
Sole Proprietor

Location and contact information for practice:
328 AVENUE B  WAVERLY, FL 33877 US
Tel: 863-514-0994  Fax: --

Contact information for business:
2410 LUCERNE PARK RD  WINTER HAVEN, FL 33881-1666 US
Tel: 863-514-0994  Fax: --

Registration Information:
NPI: 1003053919
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y172V00000XOther Service Providers
Community Health Worker
FLCNA123933

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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