Individual
LATRONDA HILLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8052 MACTAVISH WAY W, JACKSONVILLE, FL 32244-5554
(904) 365-1011
Mailing address
8052 MACTAVISH WAY W, JACKSONVILLE, FL 32244-5554
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
—
—
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
07/10/2022
Last updated
07/10/2022
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