Antwar V Jelks

NPI #1205456423 in Starke, Florida

Provider Information

NPI Number: 1205456423
Entity Type: Individual
Name: Antwar V Jelks
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Case Manager/Care Coordinator
Enumeration Date: Apr 17, 2020
Last Updated: Apr 17, 2020

Practice Location

Address: 945 GRAND ST
City: Starke
State: Florida
ZIP Code: 32091-1821
Phone: (904) 964-8382

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Manager/Care Coordinator	171M00000X	Primary

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