Individual
KRISTIN GILLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3313 NOHLCREST PL, PLANT CITY, FL 33566-0730
(813) 817-1841
Mailing address
3313 NOHLCREST PL, PLANT CITY, FL 33566-0730
(813) 817-1841
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002799800
—
FL
Enumeration date
12/04/2018
Last updated
12/04/2018
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