Individual
KALIYAH ARETHA RUSSELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3770 TOLEDO RD APT 172, JACKSONVILLE, FL 32217-3353
(904) 673-0064
Mailing address
3770 TOLEDO RD APT 172, JACKSONVILLE, FL 32217-3353
(904) 673-0064
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA468704
FL
376K00000X
Nurse's Aide
CNA468704
FL
Other
Enumeration date
05/13/2026
Last updated
05/13/2026
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