Individual
LAKISHA KIRK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2519 9TH AVE W APT 2, BRADENTON, FL 34205-4846
(941) 681-6200
(941) 241-1497
Mailing address
223 31ST AVE E, B, BRADENTON, FL 34208
(941) 704-2209
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
343849
FL
Other
Enumeration date
11/10/2018
Last updated
07/17/2023
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