Individual
MS. BENITA BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
112 W ADAMS ST UNIT 1104, JACKSONVILLE, FL 32202-3830
(904) 892-0605
Mailing address
112 W ADAMS ST UNIT 1104, JACKSONVILLE, FL 32202-3830
(904) 892-0605
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
239549
FL
376J00000X
Homemaker
Primary
239549
FL
Other
Enumeration date
07/31/2023
Last updated
10/17/2024
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