Individual
YOLANDA S COAKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 KNIGHT BOXX RD STE B, ORANGE PARK, FL 32065-7376
(904) 631-4773
Mailing address
20 KNIGHT BOXX RD STE B, ORANGE PARK, FL 32065-7376
Taxonomy
Speciality
Code
Description
License number
State
347E00000X
Transportation Broker
Primary
—
FL
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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