Individual
CYNTHIA RAINGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1759 KEATS RD, JACKSONVILLE, FL 32208-3121
(904) 401-9443
Mailing address
1759 KEATS RD, JACKSONVILLE, FL 32208-3121
(904) 401-9443
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
45-5062004
FL
Other
Enumeration date
04/17/2012
Last updated
04/17/2012
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