Individual
AILYN PENATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10450 SAN JOSE BLVD STE L, JACKSONVILLE, FL 32257-6257
(904) 289-3119
Mailing address
10450 SAN JOSE BLVD STE L, JACKSONVILLE, FL 32257-6257
(904) 289-3119
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/08/2013
Last updated
03/20/2024
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