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Individual

LETICIA KELLY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CERTIFIED NURSES ASS

Contact information

Practice address
1535 SW HUNNICUT AVE, PORT SAINT LUCIE, FL 34953-7007
(561) 306-9275
Mailing address
1535 SW HUNNICUT AVE, PORT SAINT LUCIE, FL 34953-7007
(561) 306-9275

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
CNA109443
FL
376K00000X
Nurse's Aide
Primary
CNA109443
FL

Other

Enumeration date
09/28/2017
Last updated
02/24/2021
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