Individual
KAVENA PHILLIPS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9077 LEM TURNER RD, JACKSONVILLE, FL 32208-2268
(904) 651-2034
Mailing address
9077 LEM TURNER RD, JACKSONVILLE, FL 32208-2268
(904) 651-2034
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/27/2023
Last updated
09/27/2023
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