Mack, Letara Reyona

Mack, Letara Reyona is an sole proprietor health care provider with primary practice located at 1745 Whitman St , Jacksonville FL 32210-1237. She recently has only one registered license in Other Service Providers / Prosthetics Case Management, which is considered as her primary health care specialty. Mack, Letara Reyona can be contacted via phone (904) 424-8590.

Contact Information

Primary practice address
1745 Whitman St Jacksonville FL 32210-1237
Phone: (904) 424-8590
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Prosthetics Case Management 1744P3200X

Profile Details

NPI number 1871008094
LBN Legal business name Mack, Letara Reyona
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2017
Last updated Dec 11th, 2017 - about 7 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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