Individual
MISCHKA SUMPTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1631 E 19TH ST, JACKSONVILLE, FL 32206-3350
(904) 444-7801
Mailing address
1631 E 19TH ST, JACKSONVILLE, FL 32206-3350
(904) 444-7801
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
L21000383658
FL
Other
Enumeration date
07/24/2022
Last updated
07/24/2022
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