Individual
MRS. KIJUANA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4250 JACKSON RD, COTTONDALE, FL 32431-6522
(850) 703-7699
Mailing address
4250 JACKSON RD, COTTONDALE, FL 32431-6522
(850) 703-7699
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
FL
Other
Enumeration date
09/18/2025
Last updated
10/24/2025
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