Individual
WANDA SILVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6869 BELFORT OAKS PL, JACKSONVILLE, FL 32216-6242
(904) 294-3335
Mailing address
3160 HOLLOW TREE CT, JACKSONVILLE, FL 32216-1176
(904) 294-3335
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
MA-44884
FL
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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