Individual
CHEVELLE L ALEXANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8015 DEGAS COURT, JACKSONVILLE, FL 32277-3892
(904) 510-1426
Mailing address
8015 DEGAS CT, JACKSONVILLE, FL 32277-2892
(904) 510-1426
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
10/10/2016
Last updated
10/10/2016
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