Individual
PAULA RAVNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7707 MERRILL RD STE 11965, JACKSONVILLE, FL 32277-3714
(800) 373-0393
Mailing address
PO BOX 11965, JACKSONVILLE, FL 32239-1965
(904) 517-6609
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/17/2020
Last updated
08/17/2020
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