Individual
MISS TURQUOISE MICHELLE JOLLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1908 SE WALTON LAKES DR, PORT SAINT LUCIE, FL 34952-5110
(904) 206-1651
Mailing address
PO BOX 2558, STUART, FL 34995-2558
(904) 206-1651
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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