Imhansiemhonehi, Mary

Imhansiemhonehi, Mary is an sole proprietor health care provider with primary practice located at 4568 Antler Hill Dr E , Jacksonville FL 32224-8704. She recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as her primary health care specialty. Imhansiemhonehi, Mary can be contacted via phone (386) 265-8778.

Contact Information

Primary practice address
4568 Antler Hill Dr E Jacksonville FL 32224-8704
Phone: (386) 265-8778
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X

Profile Details

NPI number 1235786856
LBN Legal business name Imhansiemhonehi, Mary
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2019
Last updated Aug 19th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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