Individual
MS. TAWANNA DENISE TIMMONS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT, MA
Contact information
Practice address
1260 MCDUFF AVE S # 2, JACKSONVILLE, FL 32205-8030
(904) 343-9618
(904) 467-8815
Mailing address
1260 MCDUFF AVE S # 2, JACKSONVILLE, FL 32205-8030
(904) 343-9618
(904) 467-8815
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
2156
FL
Other
Enumeration date
11/10/2021
Last updated
11/10/2021
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