Individual
ALEXZANDRYA RACKLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11041 BEACH BLVD # 71, JACKSONVILLE, FL 32246-4809
(904) 872-0455
Mailing address
2354 LEONID RD, JACKSONVILLE, FL 32218-4700
(904) 872-0455
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
—
Other
Enumeration date
04/13/2022
Last updated
04/13/2022
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