Individual
KAMI GENUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
9584 WOODSTONE MILL DR, JACKSONVILLE, FL 32244-7909
(904) 521-4583
(904) 777-1525
Mailing address
9584 WOODSTONE MILL DR, JACKSONVILLE, FL 32244-7909
(904) 521-4583
(904) 777-1525
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5175780
FL
Other
Enumeration date
11/10/2008
Last updated
11/10/2008
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