Individual
JACOLBY PATRICE ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2400 S RIDGEWOOD AVE, SOUTH DAYTONA, FL 32119-3097
(785) 226-4023
Mailing address
1900 S PALMETTO AVE APT 2, SOUTH DAYTONA, FL 32119-2293
(785) 226-4023
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
09/29/2017
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