Individual
KRISTO-JAY ASHLEY BAILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2881 NW 204TH LN, MIAMI GARDENS, FL 33056-2027
(305) 610-2688
Mailing address
2881 NW 204TH LN, MIAMI GARDENS, FL 33056-2027
(305) 832-9385
(800) 356-3159
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
020192400
—
FL
Enumeration date
08/15/2016
Last updated
08/23/2021
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