Individual
NICOLE DENEEN MUNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5628 DART DR, JACKSONVILLE, FL 32244-1404
(904) 479-0857
Mailing address
5628 DART DR, JACKSONVILLE, FL 32244-1404
(904) 479-0857
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
—
FL
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
10/04/2024
Last updated
10/04/2024
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