Individual
EDITH CORBETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3688 TIMUCUA TRL, JACKSONVILLE, FL 32277-2250
(904) 545-5246
Mailing address
3688 TIMUCUA TRL, JACKSONVILLE, FL 32277-2250
(904) 545-5246
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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