Individual
BRANDY CORKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7517 FREE AVE, JACKSONVILLE, FL 32211-7822
(850) 339-9526
Mailing address
7517 FREE AVE, JACKSONVILLE, FL 32211-7822
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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