Individual
ERICA TYNITA MARSHALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12036 PROSPECT CREEK DR, JACKSONVILLE, FL 32218-8800
(904) 201-0446
Mailing address
12036 PROSPECT CREEK DR, JACKSONVILLE, FL 32218-8800
(904) 201-0446
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
—
376J00000X
Homemaker
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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