Individual
KNIESHA KATHERINE SCRUGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1461 STEELE ST, JACKSONVILLE, FL 32209-6263
(904) 415-9228
Mailing address
6982 CLEARWATER PARK CT S, JACKSONVILLE, FL 32244-7809
(904) 415-9228
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
37
FL
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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