Andrea Conklin
Technician, Personal Care Attendant in Tampa, FL. Individual provider (NPI-1).
NPI number1255804696
StatusActive
Last updated in NPPESJan 8, 2019
Details
- NPI
- 1255804696
- Entity type
- Individual (NPI-1)
- Name
- Andrea Conklin
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2019
- Last updated
- Jan 8, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | 011824000 | FL | Yes |
Practice location
6323 Newtown Cir Apt A3Tampa, FL 33615-3616
Phone 561-317-8815
Mailing address
6323 Newtown Cir Apt A3Tampa, FL 33615-3616
Phone 561-317-8815
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