Tashiana Kelly
Tashiana Kelly is a Point of Service in Jacksonville, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2020
Practice location Address checks out
2611 University Blvd N Apt C203Jacksonville, FL 32211-3287
Phone: (904) 248-2208
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Point of Service (primary) | Taxonomy 305S00000X · Licence W689477 (FL) |
|---|
Record details
| NPI number | 1528666146 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | October 15, 2020 |
| Last updated in NPPES | October 15, 2020 |
| Certification date | October 15, 2020 |
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