WILSON JATIVA

JACKSONVILLE, FL
NPI1639310790
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy163W00000X Registered Nurse
(Licence: FL  9232271)
Enumeration Date2009-03-18
Last Update Date2009-03-18
Business Address
Mr. WILSON JATIVA RN
807 CHILDRENS WAY
JACKSONVILLE, FL 32207-8426
Phone number: 904-697-3461
Mailing Address
Mr. WILSON JATIVA RN
9270 HAWKS POINT DR
JACKSONVILLE, FL 32222-2831
Phone number: 904-697-3461
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