Individual
TJUANA YOLANDRA MCNEILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
301 E MORENO ST, PENSACOLA, FL 32503-5257
(850) 450-6074
Mailing address
301 E MORENO ST, PENSACOLA, FL 32503-5257
(850) 450-6074
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/23/2017
Last updated
10/23/2017
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