Individual
KUWANANH PAYNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6237 MERRILL RD, 6237 MERRILL ROAD, JACKSONVILLE, FL 32277-3512
(904) 744-2111
(904) 493-0109
Mailing address
6237 MERRILL RD, 6237 MERILL ROAD, JACKSONVILLE, FL 32277-3512
(904) 744-2111
(904) 493-0109
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH10223
FL
Other
Enumeration date
12/07/2013
Last updated
12/07/2013
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