Individual
ARIELLE LAKEITA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11048 N CAMPUS BLVD, JACKSONVILLE, FL 32218-6416
(904) 514-1845
Mailing address
11048 N CAMPUS BLVD, JACKSONVILLE, FL 32218-6416
(904) 514-1845
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT21066
FL
Other
Enumeration date
10/02/2019
Last updated
10/02/2019
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