Tashiana Kelly
NPI #1528666146 in Jacksonville, Florida
Provider Information
- NPI Number
- 1528666146
- Entity Type
- Individual
- Name
- Tashiana Kelly
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Point of Service
- Enumeration Date
- Oct 15, 2020
- Last Updated
- Oct 15, 2020
Practice Location
- Address
- 2611 UNIVERSITY BLVD N APT C203
- City
- Jacksonville
- State
- Florida
- ZIP Code
- 32211-3287
- Phone
- (904) 248-2208
Specialties & Taxonomy Codes
| Specialty |
|---|
| Point of Service |
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