Individual
CHRISTINE ANN MENTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13903 ASCOT DR, JACKSONVILLE, FL 32250-1603
(904) 304-2447
Mailing address
13903 ASCOT DR, JACKSONVILLE, FL 32250-1603
(904) 304-2447
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
L19000184766
FL
311ZA0620X
Adult Care Home Facility
L19000184766
FL
374U00000X
Home Health Aide
Primary
L19000184766
FL
Other
Enumeration date
11/09/2019
Last updated
11/09/2019
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