Individual
MARIAH C ADAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5775 CALVARY DR, JACKSONVILLE, FL 32244-2158
(904) 316-0558
Mailing address
5775 CALVARY DR, JACKSONVILLE, FL 32244-2158
(904) 316-0558
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
FL
Other
Enumeration date
08/21/2024
Last updated
08/21/2024
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