Individual
MS. KEON LATRICE WOOTEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
779 TURKEY POINT DR, ORANGE PARK, FL 32065-2596
(904) 402-3398
Mailing address
779 TURKEY POINT DR, ORANGE PARK, FL 32065-2596
(904) 402-3398
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
12/16/2020
Last updated
12/16/2020
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