Individual
MS. QUIANA ZSATAYA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9417 THORN GLEN RD, JACKSONVILLE, FL 32208-8422
(904) 829-4006
Mailing address
9417 THORN GLEN RD, JACKSONVILLE, FL 32208-8422
(904) 829-4006
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
236291
FL
376J00000X
Homemaker
236291
FL
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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