Individual
MRS. MOZETTA C SHILOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1607 ROSANNE ST, JACKSONVILLE, FL 32208-3722
(904) 274-2477
Mailing address
5673 NORMANDY BLVD, JACKSONVILLE, FL 32205-6248
(904) 274-2477
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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