Individual
REBECCA JODY KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
160 N BEACH ST, DAYTONA BEACH, FL 32114-3314
(386) 944-4707
Mailing address
34 BERKLEY RD, ORMOND BEACH, FL 32176-2410
(386) 441-1087
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
09/21/2012
Last updated
09/21/2012
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