Individual
SAMARIA FOUNTAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7730 PLANTATION BAY DR, JACKSONVILLE, FL 32244-5197
(904) 299-5145
Mailing address
7730 PLANTATION BAY DR, JACKSONVILLE, FL 32244-5197
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
—
—
Other
Enumeration date
02/09/2023
Last updated
10/12/2023
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