Individual
KIMBERLY DANIELLE AYCOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.H.S.
Contact information
Practice address
705 W 1ST ST, SANFORD, FL 32771-1121
(407) 247-8181
Mailing address
705 W 1ST ST, SANFORD, FL 32771-1121
(407) 247-8181
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/08/2014
Last updated
12/08/2014
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