Individual
KENITHIA Z BREWINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
121 MILLET CIR, CANTONMENT, FL 32533-7888
(850) 417-2281
Mailing address
121 MILLET CIR, CANTONMENT, FL 32533-7888
(850) 417-2281
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
100094512
FL
Other
Enumeration date
04/17/2020
Last updated
04/17/2020
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