DIANA DUDENKOVA LONGACRE

JACKSONVILLE, FL
NPI1629532080
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner, Family
(Licence: FL  APRN11000344)
Enumeration Date2019-01-29
Last Update Date2019-01-29
Business Address
DIANA DUDENKOVA LONGACRE APRN
10915 BAYMEADOWS RD STE 104
JACKSONVILLE, FL 32256-9131
Phone number: 904-683-6924
Mailing Address
DIANA DUDENKOVA LONGACRE APRN
10915 BAYMEADOWS RD STE 104
JACKSONVILLE, FL 32256-9131
Phone number: 904-683-6924
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