Individual
RENEE TALBOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
8544 GLENBURY CT N, JACKSONVILLE, FL 32256-9081
(941) 704-0210
Mailing address
8544 GLENBURY CT N, JACKSONVILLE, FL 32256-9081
(941) 704-0210
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
OTA 13584
FL
Other
Enumeration date
09/08/2014
Last updated
09/08/2014
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