Individual
MS. JORGA SNYDER DURAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
214 SE TRIBBLE ST, LAKE CITY, FL 32025-0108
(386) 755-7263
Mailing address
214 SE TRIBBLE ST, LAKE CITY, FL 32025-0108
(386) 755-7263
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PTA21026
FL
Other
Enumeration date
09/27/2007
Last updated
09/27/2007
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