Individual
SHONA KISTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1900 LAND O LAKES BLVD STE 107, LUTZ, FL 33549-2920
(813) 436-3558
Mailing address
14844 SEA MYRTLE LN, HUDSON, FL 34667-3422
(727) 478-5500
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
07/16/2024
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