Individual
KIMBERLY REYNOLDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11200 MANDARIN DR, CLERMONT, FL 34711-8026
(352) 978-5943
Mailing address
PO BOX 121143, CLERMONT, FL 34712-1143
(352) 978-5943
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
03/04/2024
Last updated
03/04/2024
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