Mayberry, Wanda

Mayberry, Wanda is an sole proprietor health care provider with primary practice located at 1445 S Lawrence Blvd , Keystone Heights FL 32656-9349. She recently has only one registered license in Ambulatory Health Care Facilities / Developmental Disabilities, which is considered as her primary health care specialty. Mayberry, Wanda can be contacted via phone (352) 448-9843.

Contact Information

Primary practice address
1445 S Lawrence Blvd Keystone Heights FL 32656-9349
Phone: (352) 448-9843
Fax: (888) 213-4424
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X

Profile Details

NPI number 1497206189
LBN Legal business name Mayberry, Wanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 18th, 2016
Last updated Nov 2nd, 2016 - about 8 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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