Jajuan Mondreese Fordham
Jajuan Mondreese Fordham is a Non-emergency Medical Transport (VAN) in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2024
Practice location Address checks out
5805 Renault Dr WJacksonville, FL 32244-1390
Phone: (904) 962-1491
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Non-emergency Medical Transport (VAN) (primary) | Taxonomy 343900000X · Licence F635433781060 (FL) |
|---|
Record details
| NPI number | 1376396564 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 8, 2024 |
| Certification date | April 8, 2024 |
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