Individual
KERRY ANN ELLINGTON ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
163 NW DOREEN ST, PORT SAINT LUCIE, FL 34983-1533
(857) 222-0249
Mailing address
163 NW DOREEN ST, PORT SAINT LUCIE, FL 34983-1533
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
11/15/2024
Last updated
11/15/2024
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