Individual
LAQUINTA KELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5420 HOLLYWOOD BLVD APT 105, HOLLYWOOD, FL 33021-6444
(678) 446-7432
Mailing address
5420 HOLLYWOOD BLVD APT 105, HOLLYWOOD, FL 33021-6444
(678) 446-7432
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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