Individual
DAVID KYLE LANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2836 CHEROKEE CIR S, JACKSONVILLE, FL 32205-5800
(904) 403-0120
Mailing address
2836 CHEROKEE CIR S, JACKSONVILLE, FL 32205-5800
(904) 403-0120
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/05/2022
Last updated
07/05/2022
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