Individual
MS. JACQUELYN KIERON SANDERS-KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
631 DAVID ST, WINTER SPRINGS, FL 32708-2613
(407) 936-5297
Mailing address
631 DAVID ST, WINTER SPRINGS, FL 32708-2613
(407) 936-5297
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
1292761
FL
Other
Enumeration date
09/10/2013
Last updated
09/10/2013
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