Justina Threadgill
NPI #1942624366 in Daytona Beach, Florida
Provider Information
- NPI Number
- 1942624366
- Entity Type
- Individual
- Name
- Justina Threadgill
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Assisted Living Facility
- Enumeration Date
- Feb 5, 2014
- Last Updated
- Feb 5, 2014
Practice Location
- Address
- 1312 MARDRAKE RD
- City
- Daytona Beach
- State
- Florida
- ZIP Code
- 32114-5940
- Phone
- (386) 257-2162
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
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