Individual
MS. KELIS RICHARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13511 PLANTATION LAKE CIR, HUDSON, FL 34669-2442
(813) 446-3562
Mailing address
13511 PLANTATION LAKE CIR, HUDSON, FL 34669-2442
(813) 446-3562
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/26/2019
Last updated
12/26/2019
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