Individual
MISS DANICKLYN GULLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7449 SMYRNA ST, JACKSONVILLE, FL 32208-3346
(904) 718-8955
Mailing address
7449 SMYRNA ST, JACKSONVILLE, FL 32208-3346
(904) 718-8955
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
FL
Other
Enumeration date
10/23/2018
Last updated
10/23/2018
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