SOPHIA KIBUISMITH

ST PETERSBURG, FL
NPI1346012572
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy311ZA0620X Custodial Care Facility, Adult Care Home
(Licence: FL  6907085)
Enumeration Date2023-10-23
Last Update Date2023-10-23
Business Address
SOPHIA KIBUISMITH
4811 5TH AVE S
ST PETERSBURG, FL 33711-1421
Phone number: 425-246-5077
Mailing Address
SOPHIA KIBUISMITH
4811 5TH AVE S
ST PETERSBURG, FL 33711-1421
Phone number: 425-246-5077
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