Individual
MAKAELA OBI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3130 KINGSTON ST, JACKSONVILLE, FL 32254-2524
(904) 728-7474
Mailing address
3130 KINGSTON ST, JACKSONVILLE, FL 32254-2524
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
6906906
FL
Other
Enumeration date
07/17/2017
Last updated
07/17/2017
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