Individual
NIA KIMBROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3023 BROADWAY APT 54, FORT MYERS, FL 33901-7281
(954) 856-5308
Mailing address
3023 BROADWAY APT 54, FORT MYERS, FL 33901-7281
(954) 856-5308
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
05/18/2022
Last updated
05/18/2022
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