Individual
CAROL KINGSLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4887 SE ISABELITA AVE, STUART, FL 34997-6757
(772) 286-8715
Mailing address
4887 SE ISABELITA AVE, STUART, FL 34997-6757
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 5153087
FL
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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