Individual
ANGELA BRYANT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
229 CHEROKEE ST, JACKSONVILLE, FL 32254-4018
(904) 233-1444
Mailing address
229 CHEROKEE ST, JACKSONVILLE, FL 32254-4018
(904) 233-1444
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
FL
Other
Enumeration date
04/19/2014
Last updated
04/19/2014
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