Individual
DR. JUANITA DIANE PARKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1028 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5343
(904) 761-8321
Mailing address
1028 EDGEWOOD AVE S, JACKSONVILLE, FL 32205-5343
(904) 761-8321
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
04/18/2024
Last updated
04/18/2024
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