Individual
KIERRA CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
407 MUSSEY AVE NE, LIVE OAK, FL 32064-2452
(386) 209-4204
Mailing address
407 MUSSEY AVE NE, LIVE OAK, FL 32064-2452
(386) 209-4204
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
376J00000X
Homemaker
Primary
—
FL
Other
Enumeration date
01/29/2025
Last updated
02/27/2025
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