Individual
JALICIA DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
810 S MADISON DR, PENSACOLA, FL 32505-4658
(850) 860-6019
Mailing address
810 S MADISON DR, PENSACOLA, FL 32505-4658
(850) 860-6019
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
05/10/2021
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