Individual
MRS. VONCILLA LUQITA KYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
243 AQUAMARINE AVE, PENSACOLA, FL 32505-3737
(850) 288-5264
(850) 741-4018
Mailing address
243 AQUAMARINE AVE, PENSACOLA, FL 32505-3737
(850) 288-5264
(850) 741-4018
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
FL
376J00000X
Homemaker
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
83-3706343
HOMEMAKER COMPANION SERVICE
FL
Enumeration date
05/13/2019
Last updated
05/13/2019
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