DEMETRIC GAZZARA ELLIS

JACKSONVILLE, FL
NPI1154953008
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy253Z00000X In Home Supportive Care
(Licence: FL  30402)
Enumeration Date2020-02-09
Last Update Date2020-02-09
Business Address
DEMETRIC GAZZARA ELLIS
1600 LANSDOWNE DR APT 215
JACKSONVILLE, FL 32211-5151
Phone number: 904-444-0180
Mailing Address
DEMETRIC GAZZARA ELLIS
1600 LANSDOWNE DR APT 215
JACKSONVILLE, FL 32211-5151
Phone number: 904-444-0180
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