Individual
JAYSHA DANIELS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6870 103RD ST, JACKSONVILLE, FL 32210-6809
(904) 703-1542
Mailing address
6870 103RD ST, JACKSONVILLE, FL 32210-6809
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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