Individual
KATIE JW BAUMTROG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13979 SPOONBILL ST N, JACKSONVILLE, FL 32224-3134
(195) 220-1095
Mailing address
13979 SPOONBILL ST N, JACKSONVILLE, FL 32224-3134
(952) 201-0958
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
05/10/2023
Last updated
05/10/2023
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