Individual
DONETTA DUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
3807 STUART ST, JACKSONVILLE, FL 32209-4042
(904) 497-2417
Mailing address
3807 STUART ST, JACKSONVILLE, FL 32209-4042
(904) 497-2417
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
426581
FL
Other
Enumeration date
02/07/2024
Last updated
02/07/2024
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