Individual
SHIRLEY ANN ARLINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2331 LANE AVE S, JACKSONVILLE, FL 32210-3703
(904) 434-5864
(904) 683-2821
Mailing address
2331 LANE AVE S, JACKSONVILLE, FL 32210-3703
(904) 434-5864
(904) 683-2821
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
683297196
FL
Other
Enumeration date
12/15/2010
Last updated
12/15/2010
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