Individual
LINDA YVETTE JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1467 E 28TH ST, JACKSONVILLE, FL 32206-1619
(904) 577-2429
Mailing address
1467 E 28TH ST, JACKSONVILLE, FL 32206-1619
(904) 577-2429
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/10/2022
Last updated
10/10/2022
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