Individual
TATIYANA PROCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3684 AUGUST CROSSING CT, JACKSONVILLE, FL 32210-9624
(904) 544-3552
Mailing address
3684 AUGUST CROSSING CT, JACKSONVILLE, FL 32210-9624
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/02/2026
Last updated
04/02/2026
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