Tandela Shayontaye Blount-Jackson

NPI #1437920204 in Perry, Florida

Provider Information

NPI Number
1437920204
Entity Type
Individual
Name
Tandela Shayontaye Blount-Jackson
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Homemaker
Enumeration Date
Jan 11, 2024
Last Updated
Jan 11, 2024

Practice Location

Address
120 ELLINGTON ST
City
Perry
State
Florida
ZIP Code
32348-5200
Phone
(850) 672-2628

Specialties & Taxonomy Codes

Specialty
Homemaker

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