Individual
MRS. LYSSETTE KELLY CRAIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7764 ANDORA DR, SARASOTA, FL 34238-4753
(304) 703-2644
Mailing address
7764 ANDORA DR, SARASOTA, FL 34238-4753
(304) 703-2644
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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