Individual
CORIN ANN KIERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9072 109TH TER, LARGO, FL 33777-1109
(727) 422-8342
Mailing address
405 BOUGH AVE, CLEARWATER, FL 33760-1505
(727) 222-2156
(813) 844-4057
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA289805
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CNA289805
CNA
FL
Enumeration date
08/18/2019
Last updated
08/18/2019
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