Individual
JEVIEL LATRISH DAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1127 CALIENTE DR, JACKSONVILLE, FL 32211-8855
(904) 400-5987
Mailing address
1127 CALIENTE DR, JACKSONVILLE, FL 32211-8855
(904) 400-5987
Taxonomy
Speciality
Code
Description
License number
State
183700000X
Pharmacy Technician
Primary
RPT7706
FL
Other
Enumeration date
10/01/2019
Last updated
10/01/2019
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