Individual
MS. KEONA LATOSHA BARNWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
847 ORANGE AVE, STE. B, DAYTONA BEACH, FL 32114-4769
(386) 405-4155
Mailing address
9951 ATLANTIC BLVD, SUITE 319, JACKSONVILLE, FL 32225-6584
(386) 405-4155
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000658800
—
FL
Enumeration date
07/03/2008
Last updated
06/23/2015
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