Individual
KEISHA DAWN AUTREY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
96 JOHN ST, SUMMERLAND KEY, FL 33042-4625
(305) 413-0683
Mailing address
96 JOHN ST, SUMMERLAND KEY, FL 33042-4625
(305) 413-0683
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/02/2024
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