Individual
KENNETTA THORNTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
433 KING ST, JACKSONVILLE, FL 32204-2427
(904) 476-5068
Mailing address
433 KING ST, JACKSONVILLE, FL 32204-2427
(904) 476-5068
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
FL
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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