Individual
KURIYETU AISHA SALAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4443 CROOKED CREEK DR, JACKSONVILLE, FL 32224-5688
(904) 993-8863
Mailing address
4443 CROOKED CREEK DR, JACKSONVILLE, FL 32224-5688
(904) 993-8863
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN1358611
FL
Other
Enumeration date
11/06/2021
Last updated
11/07/2021
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