Individual
CATHERINE E IYOHA-IDIONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MB CHB
Contact information
Practice address
11261 SAN JOSE BLVD, JACKSONVILLE, FL 32223-7230
(904) 292-9033
(904) 390-7499
Mailing address
PO BOX 746638, ATLANTA, GA 30374-6638
(904) 202-2092
(904) 376-4075
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
ME169703
FL
Other
Enumeration date
04/07/2021
Last updated
09/24/2024
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