Individual
SANDRIKA POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5620 COLLINS RD APT 302, JACKSONVILLE, FL 32244-6910
(904) 667-1992
Mailing address
1703 EDGEWOOD ST SW, DECATUR, AL 35601-5453
(904) 667-1992
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
236711
FL
Other
Enumeration date
07/06/2020
Last updated
03/16/2022
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