Individual
LEVELDA DIANE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
4453 MELVIN CIR E, JACKSONVILLE, FL 32210-4731
(904) 365-3394
Mailing address
4453 MELVIN CIR E, JACKSONVILLE, FL 32210-4731
(904) 365-3394
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
204019
FL
Other
Enumeration date
04/11/2019
Last updated
04/11/2019
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