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Tazena Kennedy
NPI 1629144712 · on the registry since 2006 · sole proprietor
Practice
- Address
- 330 Ivy St
Jacksonville, FL 32206 - Phone
- (904) 307-6844
- Fax
- (904) 924-1174
- Organisation at this address
- Diamond Supported Living Services, Inc.
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Case Manager/Care Coordinator
171M00000X
- Sex
- Female
- Record last updated
- 2007-07-09
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