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Individual

MRS. JULIA ST JUSTE MORAME

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5500 WATKINS RD, HAINES, FL 33844
(863) 269-9753
Mailing address
5500 WATKINS RD, HAINES, FL 33844
(863) 269-9753
(863) 353-8142

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
374U00000X
Home Health Aide
6906270
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000422700
FL
Enumeration date
10/19/2012
Last updated
01/28/2019
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