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Yadeceia Denmark

Homemaker in Tallahassee, FL. Individual provider (NPI-1).

NPI number1467196907
StatusActive
Last updated in NPPESApr 29, 2024

Details

NPI
1467196907
Entity type
Individual (NPI-1)
Name
Yadeceia Denmark
Sex
Female
Sole proprietor
No
Enumeration date
Apr 21, 2022
Certification date
Apr 29, 2024
Last updated
Apr 29, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
376J00000X Homemaker––Yes

Practice location

112 Fleetwood St
Tallahassee, FL 32305-7094

Phone 850-879-1706

Mailing address

112 Fleetwood St
Tallahassee, FL 32305-7094

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