Individual
CARRIE RENEE LOVELLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8168 OREGON ST, JACKSONVILLE, FL 32220-2656
(904) 999-7611
Mailing address
8168 OREGON ST, JACKSONVILLE, FL 32220-2656
(904) 999-7611
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/26/2019
Last updated
07/26/2019
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