Individual
CRYSTAL KELLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3623 FREEMAN RD, JACKSONVILLE, FL 32207-5549
(904) 923-5585
Mailing address
3623 FREEMAN RD, JACKSONVILLE, FL 32207-5549
(904) 923-5585
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
04/18/2022
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