Jenny Lee Mahoney, IDC

NPI #1043863079 in Callahan, Florida

Provider Information

NPI Number
1043863079
Entity Type
Individual
Name
Jenny Lee Mahoney, IDC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Military Health Care Provider - Independent Duty Corpsman
Credential
IDC
Enumeration Date
Jul 18, 2019
Last Updated
Jan 7, 2020

Practice Location

Address
55281 YELLOW JACKET DR
State
Florida
ZIP Code
32011-8534
Phone
(757) 672-8533

Specialties & Taxonomy Codes

Specialty
Military Health Care Provider - Independent Duty CorpsmanIndependent Duty Corpsman

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