Individual
JACQUELINE DANITA MORRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
ROOTS SALON TIOGA 13085 SUITE 60, NEWBERRY, FL 32669
(719) 357-0094
Mailing address
PO BOX 374, WILLISTON, FL 32696-0374
(719) 357-0094
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
11/25/2022
Last updated
11/25/2022
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