Individual
ANGELA DEALLIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10438 PIEDMONT RD, JACKSONVILLE, FL 32218-5258
(904) 402-0448
Mailing address
10438 PIEDMONT RD, JACKSONVILLE, FL 32218-5258
(904) 402-0448
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
FL
Other
Enumeration date
09/22/2023
Last updated
09/22/2023
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