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Justina Threadgill
NPI 1942624366 · on the registry since 2014 · sole proprietor
Practice
- Address
- 1312 Mardrake Rd
Daytona Beach, FL 32114 - Phone
- (386) 257-2162
Registry record
- Primary taxonomy
- Assisted Living Facility
310400000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2014-02-05
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