Tashondra Daniels Wiley
Tashondra Daniels Wiley is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
11537 Cricket CtJacksonville, FL 32218-3604
Phone: (904) 449-8125
Fax: (904) 570-9947
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X |
|---|
Record details
| NPI number | 1184111718 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | April 19, 2018 |
| Last updated in NPPES | April 19, 2018 |
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