ALVIN DWAYNE JERNIGAN

LAKE CITY, FL
NPI1306303821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy343900000X Non-emergency Medical Transport (VAN)
Enumeration Date2019-02-21
Last Update Date2019-02-21
Business Address
ALVIN DWAYNE JERNIGAN
386 NE VOSS RD
LAKE CITY, FL 32055-1486
Phone number: 386-292-3154
Mailing Address
ALVIN DWAYNE JERNIGAN
386 NE VOSS RD
LAKE CITY, FL 32055-1486
Phone number: 386-292-3154