Individual
KIERRA SWAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 RED CEDAR CT, ORANGE PARK, FL 32073-1659
(904) 859-3531
Mailing address
715 RED CEDAR CT, ORANGE PARK, FL 32073-1659
(904) 859-3531
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
347C00000X
Private Vehicle
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
05/25/2023
Last updated
05/25/2023
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