Individual
JACQUELINE MARIE AWOYALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
1615 RIDGEWOOD AVE STE 101, HOLLY HILL, FL 32117-1749
(386) 868-5900
Mailing address
1615 RIDGEWOOD AVE STE 101, HOLLY HILL, FL 32117-1749
(386) 868-5900
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9469261
FL
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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