Individual
MRS. JAMYE LANE FAULDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CSFA
Contact information
Practice address
3025 UNITY TREE DR, EDGEWATER, FL 32141-6009
(386) 847-8158
Mailing address
3025 UNITY TREE DR, EDGEWATER, FL 32141-6009
(386) 847-8158
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
09/20/2008
Last updated
09/24/2013
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