Individual
KATHY BONITA GRIGGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 SALISBURY RD, JACKSONVILLE, FL 32216-8031
(904) 729-9525
Mailing address
4130 SALISBURY RD, JACKSONVILLE, FL 32216-8031
(904) 729-9525
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
FV0572994
FL
Other
Enumeration date
04/05/2021
Last updated
04/05/2021
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