Phally Lang

NPI #1831640929 in Jacksonville, Florida

Provider Information

NPI Number
1831640929
Entity Type
Individual
Name
Phally Lang
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Oct 24, 2016
Last Updated
Oct 24, 2016

Practice Location

Address
542 EDGEWOOD AVE S
State
Florida
ZIP Code
32205-5333
Phone
(978) 495-1461

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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