Individual
PHILLIS D SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7518 GINGER TEA TRL W, JACKSONVILLE, FL 32244-7077
(904) 763-7184
Mailing address
PO BOX 441151, JACKSONVILLE, FL 32222-0012
(904) 763-7184
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
444685
FL
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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