Individual
DAJA CALLOWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
439 CHERRY RIDGE DR, ORANGE PARK, FL 32065-3222
(404) 509-3296
Mailing address
439 CHERRY RIDGE DR, ORANGE PARK, FL 32065-3222
(404) 509-3296
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
02/15/2024
Last updated
02/15/2024
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