Individual
DIANE FAULKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9564 GLENN ABBEY WAY, JACKSONVILLE, FL 32256-6491
(904) 233-3331
(866) 654-6692
Mailing address
9564 GLENN ABBEY WAY, JACKSONVILLE, FL 32256-6491
(904) 233-3331
(866) 654-6692
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/03/2008
Last updated
03/03/2008
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