Provider Demographics
NPI:1972113744
Name:SALESMAN-BRASBY, ORNELLA YULANDA
Entity type:Individual
Prefix:
First Name:ORNELLA
Middle Name:YULANDA
Last Name:SALESMAN-BRASBY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2910 NE 13TH ST
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32609-3169
Mailing Address - Country:US
Mailing Address - Phone:352-321-1296
Mailing Address - Fax:
Practice Address - Street 1:2910 NE 13TH ST
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32609-3169
Practice Address - Country:US
Practice Address - Phone:352-321-1296
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-05
Last Update Date:2020-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376J00000XNursing Service Related ProvidersHomemaker