Individual
MISS KENYA DIANE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
11739 CRESCENT PINES BLVD, CLERMONT, FL 34711-7863
(352) 255-6458
Mailing address
11739 CRESCENT PINES BLVD, CLERMONT, FL 34711-7863
(352) 255-6458
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
NA0006346680
NJ
Other
Enumeration date
10/26/2012
Last updated
10/26/2012
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