Individual
KYANDRA STANDIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3664 BARRED OWL RD, LAKELAND, FL 33811-1326
(407) 259-8927
Mailing address
220 S CENTRAL AVE UNIT 2544, BARTOW, FL 33831-7103
(407) 259-8927
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/26/2021
Last updated
01/26/2021
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