Individual
MR. BONNADELBERT LINGAT DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
12014 WYNNFIELD LAKES CIR, JACKSONVILLE, FL 32246-4234
(904) 318-1941
Mailing address
12014 WYNNFIELD LAKES CIR, JACKSONVILLE, FL 32246-4234
(904) 318-1941
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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