LATASHA WILEY

JACKSONVILLE, FL
NPI1821628207
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy363LP2300X Nurse Practitioner, Primary Care
(Licence: FL  aprn11005781)
Enumeration Date2020-01-24
Last Update Date2020-01-24
Business Address
LATASHA WILEY
11698 ALEXANDRA DR
JACKSONVILLE, FL 32218-8874
Phone number: 904-598-4229
Mailing Address
LATASHA WILEY
11698 ALEXANDRA DR
JACKSONVILLE, FL 32218-8874
Phone number: 904-598-4229
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