Individual
MRS. KIMBERLY CORNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7138 GLENDORA ST, PENSACOLA, FL 32526
(850) 356-5699
Mailing address
7138 GLENDORA ST, PENSACOLA, FL 32526-2740
(850) 356-5699
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906939
FL
Other
Enumeration date
01/15/2018
Last updated
06/14/2018
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