Individual
BRIANNA BUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6528 SWEETBAY LN APT 102, JACKSONVILLE, FL 32244-2856
(904) 597-1263
Mailing address
6528 SWEETBAY LN APT 102, JACKSONVILLE, FL 32244-2856
(904) 597-1263
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/04/2024
Last updated
11/04/2024
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