AGNES ELIZABETH AYSOLA

JACKSONVILLE, FL
NPI1689618811
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: FL  ME103131)
Additional Taxonomies207ZB0001X Pathology, Blood Banking & Transfusion Medicine
(Licence: MN  42392)
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: MN  42392)
207ZB0001X Pathology, Blood Banking & Transfusion Medicine
(Licence: FL  ME103131)
Enumeration Date2006-06-16
Last Update Date2009-06-10
Business Address
Dr. AGNES ELIZABETH AYSOLA M.D.
655 W 8TH ST UFJP PATHOLOGY DEPT.
JACKSONVILLE, FL 32209-6511
Phone number: 904-244-4387
Mailing Address
Dr. AGNES ELIZABETH AYSOLA M.D.
PO BOX 44008 UFJP PROVIDER ENROLLMENT
JACKSONVILLE, FL 32231-4008
Phone number: