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Individual

ANGELINA SMALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2691 UNIVERSITY BLVD N APT E105, JACKSONVILLE, FL 32211-8331
(904) 697-6510
Mailing address
2691 UNIVERSITY BLVD N APT E105, JACKSONVILLE, FL 32211-8331
(904) 697-6510

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
240864
FL

Other

Enumeration date
08/13/2025
Last updated
08/13/2025
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