Individual
KELLY MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1720 17TH CT, JUPITER, FL 33477-9089
(561) 427-4883
Mailing address
1720 17TH CT, JUPITER, FL 33477-9089
(561) 427-4883
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA174713
FL
Other
Enumeration date
12/02/2008
Last updated
12/02/2008
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