ANTONIESHA AUSTIN

JACKSONVILLE, FL
NPI1003346115
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy261QD1600X Clinic/Center Developmental Disabilities
Enumeration Date2017-06-13
Last Update Date2017-06-13
Business Address
ANTONIESHA AUSTIN
8805 NORFOLK BLVD
JACKSONVILLE, FL 32208-1917
Phone number: 904-343-2218
Mailing Address
ANTONIESHA AUSTIN
PO BOX 66054
JACKSONVILLE, FL 32208-6054
Phone number: 904-343-2218