Individual
KIMBERLY JOAN STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
972 SW HAAS AVE, PORT ST LUCIE, FL 34953-5611
(561) 662-9437
Mailing address
972 SW HAAS AVE, PORT ST LUCIE, FL 34953-5611
(561) 662-9437
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
MA19051
FL
Other
Enumeration date
03/08/2012
Last updated
03/08/2012
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