Individual
CONNIKA DAMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
120 KING ARTHUR CT, ST AUGUSTINE, FL 32086-1800
(904) 325-0101
Mailing address
120 KING ARTHUR CT, ST AUGUSTINE, FL 32086-1800
(904) 325-0101
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
236028
FL
253Z00000X
In Home Supportive Care Agency
236028
FL
Other
Enumeration date
07/18/2019
Last updated
07/19/2019
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