Individual
LAURA COWAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1613 SPRING BRANCH DR E, JACKSONVILLE, FL 32221-7618
(352) 875-1843
Mailing address
1613 SPRING BRANCH DR E, JACKSONVILLE, FL 32221-7618
(352) 875-1843
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/18/2019
Last updated
09/18/2019
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