Individual
KEYSHON DONALDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1171 LANE AVE S APT 501, JACKSONVILLE, FL 32205-6275
(912) 548-4914
Mailing address
1171 LANE AVE SOUTH, 501, JACKSONVILLE, FL 32205
(912) 548-4914
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/18/2019
Last updated
01/02/2026
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