MRS. Tequela Yashan Donaldson

NPI #1780154062 in Sanderson, Florida

Provider Information

NPI Number
1780154062
Entity Type
Individual
Name
MRS. Tequela Yashan Donaldson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date
Nov 29, 2018
Last Updated
Nov 29, 2018

Practice Location

Address
14044 FRIENDSHIP PL
State
Florida
ZIP Code
32087-2489
Phone
(904) 408-6638

Specialties & Taxonomy Codes

Specialty
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities

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