Individual
CAROLYN PAIGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9123 JENNIFER BLVD, JACKSONVILLE, FL 32222-1929
(904) 568-4008
Mailing address
9123 JENNIFER BLVD, JACKSONVILLE, FL 32222-1929
(904) 568-4008
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
237967
FL
376J00000X
Homemaker
Primary
237967
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
237967
LICENSE
FL
Enumeration date
09/16/2021
Last updated
09/16/2021
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