Individual
TERESA DONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1977 DEAN RD, JACKSONVILLE, FL 32216-4587
(813) 360-3831
(813) 360-3831
Mailing address
1977 DEAN RD, JACKSONVILLE, FL 32216-4587
(813) 360-3831
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/08/2025
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