Individual
ARNITRA N JACKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1643 W 19TH ST, JACKSONVILLE, FL 32209-4811
(904) 862-3294
Mailing address
1643 W 19TH ST, JACKSONVILLE, FL 32209-4811
(904) 554-0371
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
FL
Other
Enumeration date
08/07/2024
Last updated
08/07/2024
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