Individual
MS. KIMBERLY LAVERNA PETERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
636 NW 26TH AVE APT 119E, GAINESVILLE, FL 32609
(352) 301-2141
Mailing address
636 NW 26TH AVE APT 119E, GAINESVILLE, FL 32609
(352) 301-2141
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
374U00000X
Home Health Aide
CNA120081
FL
Other
Enumeration date
11/15/2018
Last updated
09/11/2025
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