Individual
DEMETRIA DENISHA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5503 EARTHA DR, JACKSONVILLE, FL 32209-2141
(904) 609-0855
Mailing address
5503 EARTHA DR, JACKSONVILLE, FL 32209-2141
(904) 609-0855
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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