Individual
TAMRA COFFEE MIKELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2875 TATE CT, JACKSONVILLE, FL 32218-8873
(904) 258-9778
Mailing address
2875 TATE CT, JACKSONVILLE, FL 32218-8873
(904) 258-9778
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
07/15/2020
Last updated
07/15/2020
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