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Organization

DONNAS JREAM LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DIANNA WHIGHAM (OWNER)
(904) 903-3073
Entity
Organization

Contact information

Practice address
11490 SUMMER BIRD CT, JACKSONVILLE, FL 32221-2843
(904) 903-3073
Mailing address
11490 SUMMER BIRD CT, JACKSONVILLE, FL 32221-2843
(904) 903-3073

Taxonomy

Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary

Other

Enumeration date
01/28/2021
Last updated
01/28/2021
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