Individual
MRS. SOPHIE D AVERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
188 N LAKE CUNNINGHAM AVE, JACKSONVILLE, FL 32259-7938
(904) 287-3350
Mailing address
188 N LAKE CUNNINGHAM AVE, JACKSONVILLE, FL 32259-7938
(904) 287-3350
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN 1262721
FL
Other
Enumeration date
03/08/2008
Last updated
03/08/2008
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