Provider Demographics
NPI:1508370115
Name:DUNN-BALL, FRANKICHA TAMEKA
Entity Type:Individual
Prefix:
First Name:FRANKICHA
Middle Name:TAMEKA
Last Name:DUNN-BALL
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 1:1986 SHANNON LN
Mailing Address - Street 2:
Mailing Address - City:APOPKA
Mailing Address - State:FL
Mailing Address - Zip Code:32703-7684
Mailing Address - Country:US
Mailing Address - Phone:407-929-6431
Mailing Address - Fax:
Practice Address - Street 1:1986 SHANNON LN
Practice Address - Street 2:
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-7684
Practice Address - Country:US
Practice Address - Phone:407-929-6431
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-20
Last Update Date:2017-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator