Individual
KATHY LABORA LEVINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10155 MEADOW POINTE DR, JACKSONVILLE, FL 32221-8001
(904) 716-9053
Mailing address
10155 MEADOW POINTE DR, JACKSONVILLE, FL 32221-8001
(904) 716-9053
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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