Individual
PORTIA SHERYLENE JENNISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 CONFEDERATE POINT RD, PALATKA, FL 32177-8552
(386) 538-1325
Mailing address
110 CONFEDERATE POINT RD, PALATKA, FL 32177-8552
(386) 538-1325
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/03/2019
Last updated
07/03/2019
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