Individual
TERESA NDIAYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4523 JADE DR E, JACKSONVILLE, FL 32210-4714
(904) 240-8467
Mailing address
4523 JADE DR E, JACKSONVILLE, FL 32210-4714
(904) 240-8467
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
58436
FL
Other
Enumeration date
06/13/2016
Last updated
06/13/2016
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