Individual
KINSHAWDA ROCHESTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
WITH OPEN ARMS
Contact information
Practice address
1520 SW IRONWOOD DR, LAKE CITY, FL 32025-1319
(386) 292-1792
Mailing address
535 SW BRANDYWINE DR APT 101, LAKE CITY, FL 32025-1358
(386) 292-1792
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN5208382
FL
253Z00000X
In Home Supportive Care Agency
—
—
372600000X
Adult Companion
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
12/03/2014
Last updated
06/19/2019
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