Individual
MS. TORINA LATERRAL BROOKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
450 W 58TH ST, JACKSONVILLE, FL 32208-4140
(904) 894-4451
(904) 765-4544
Mailing address
450 W 58TH ST, JACKSONVILLE, FL 32208-4140
(904) 894-4451
(904) 765-4544
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
AL11105
FL
Other
Enumeration date
10/19/2007
Last updated
10/19/2007
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