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Tywanna Council
NPI 1538787866 · on the registry since 2020 · sole proprietor
Practice
- Address
- 4720 Salisbury Road #102
Jacksonville, FL 32256 - Phone
- (904) 924-4158
Registry record
- Primary taxonomy
- 225700000X
225700000X
- Also registered as
- 374J00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-09-09
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida