SELMAWIT DESTA

JACKSONVILLE, FL
NPI1265004899
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2085R0202X Radiology, Diagnostic Radiology
(Licence: MI  434849)
Enumeration Date2021-07-13
Last Update Date2021-07-15
Business Address
SELMAWIT DESTA
1100 CESERY BLVD
JACKSONVILLE, FL 32211-5674
Phone number: 904-551-5884
Mailing Address
SELMAWIT DESTA
2471 BRITNEY LAKES LN
JACKSONVILLE, FL 32221-3817
Phone number: 904-610-9305
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