Individual
JONEKA OTILLYA HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
301 MEMORIAL MEDICAL PKWY, DAYTONA BEACH, FL 32117-5167
(386) 231-3437
Mailing address
1717 MASON AVE APT 827, DAYTONA BEACH, FL 32117-5130
(386) 333-1741
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
CNA48767
FL
Other
Enumeration date
12/23/2020
Last updated
12/23/2020
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