Individual
KINSEY DREA SUCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1510 SANFORD AVE, SANFORD, FL 32771-3556
(407) 533-2696
Mailing address
1510 SANFORD AVE, SANFORD, FL 32771-3556
(407) 533-2696
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
S260504957990
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
374J00000X
—
FL
Enumeration date
06/18/2020
Last updated
06/18/2020
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