Individual
WANDARDA RAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6755 MISS MUFFET LN S, JACKSONVILLE, FL 32210-3636
(904) 738-3328
Mailing address
6755 MISS MUFFET LN S, JACKSONVILLE, FL 32210-3636
(904) 738-3328
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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