Individual
VALARIE PONDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9744 LEMON GRASS LN, JACKSONVILLE, FL 32219-1965
(904) 609-4346
Mailing address
9744 LEMON GRASS LN, JACKSONVILLE, FL 32219-1965
(904) 609-4346
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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