Wanda Mayberry
NPI #1497206189 in Keystone Heights, Florida
Provider Information
- NPI Number
- 1497206189
- Entity Type
- Individual
- Name
- Wanda Mayberry
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinic/Center - Developmental Disabilities
- Enumeration Date
- Oct 18, 2016
- Last Updated
- Nov 2, 2016
Practice Location
- Address
- 1445 S LAWRENCE BLVD
- City
- Keystone Heights
- State
- Florida
- ZIP Code
- 32656-9349
- Phone
- (352) 448-9843
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Developmental Disabilities — Developmental Disabilities |
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