Individual
TERREL LEONARD DIXON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9688 FREEFALL RD, JACKSONVILLE, FL 32221-5636
(904) 486-6294
Mailing address
6501 ARLINGTON EXPY STE B105, JACKSONVILLE, FL 32211-0810
(904) 486-6294
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
1245221
FL
Other
Enumeration date
08/12/2024
Last updated
08/12/2024
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