Individual
KAYVONDRA RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
34 S BALDWIN AVE, ARCADIA, FL 34266-3387
(863) 993-4601
Mailing address
4357 SE HIGHWAY 31, ARCADIA, FL 34266-4159
(863) 263-7321
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5252571
FL
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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