Individual
THOMECIA A ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5601 EDENFIELD RD APT 619, JACKSONVILLE, FL 32277-9427
(904) 775-2316
Mailing address
5601 EDENFIELD RD APT 619, JACKSONVILLE, FL 32277-9427
(904) 775-2316
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
FL
Other
Enumeration date
09/02/2021
Last updated
09/02/2021
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