Individual
MISS KIANA SIMONE WEBSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1119 FOSTER AVE APT 4J, BROOKLYN, NY 11230-1641
(609) 238-4207
Mailing address
1119 FOSTER AVE APT 4J, BROOKLYN, NY 11230-1641
(609) 238-4207
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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