Individual
RAMONA BENNETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9550 PRIORY AVE, JACKSONVILLE, FL 32208-1040
(904) 238-2904
Mailing address
9550 PRIORY AVE, JACKSONVILLE, FL 32208-1040
(904) 238-2904
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
6906410
FL
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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