Individual
SHERICKA ROSE PHELPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2051 W 45TH ST, JACKSONVILLE, FL 32209-3047
(904) 469-9912
Mailing address
2051 W 45TH ST, JACKSONVILLE, FL 32209-3047
(904) 469-9912
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
238921
FL
Other
Enumeration date
03/09/2023
Last updated
03/09/2023
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