AYESHA FALAK KIETZMAN

HUDSON, FL
NPI1336703461
Former NameAYESHA FALAK HUSSAIN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: FL  PA9112195)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-04-24
Last Update Date2019-06-14
Business Address
AYESHA FALAK KIETZMAN PA
13944 LAKESHORE BLVD STE C
HUDSON, FL 34667-1431
Phone number: 727-605-0252
Mailing Address
AYESHA FALAK KIETZMAN PA
14690 SPRING HILL DR STE 305
SPRING HILL, FL 34609-8102
Phone number: 352-277-5348