Individual
DONTAVIA TANIAH YANCEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA,MEDICAL TECH
Contact information
Practice address
209 W 18TH ST, JACKSONVILLE, FL 32206-2818
(305) 504-5690
Mailing address
209 W 18TH ST, JACKSONVILLE, FL 32206-2818
(904) 333-0217
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
19120176
FL
Other
Enumeration date
11/13/2025
Last updated
01/06/2026
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