Individual
MYKERA KITCHENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2227 16TH AVE S, ST PETERSBURG, FL 33712-2739
(813) 330-8387
Mailing address
4205 JORDANA WAY UNIT 124, HOLIDAY, FL 34691-6821
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1699227553
—
FL
Enumeration date
07/05/2017
Last updated
04/06/2023
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