Individual
MRS. ANTOINETTE E ETU-MANTEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3604 BLANDING BLVD, JACKSONVILLE, FL 32210-5241
(904) 778-8821
(904) 778-9053
Mailing address
3604 BLANDING BLVD, JACKSONVILLE, FL 32210-5241
(904) 778-8821
(904) 778-9053
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
PS40801
FL
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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