Vondarius Lane

NPI 1053798041 - Social Worker - 104100000X

NPI Details
NPI 1053798041
Gender Male
Enumeration Date 04/29/2015
Last Updated 04/29/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
5210 BELFORT RD
JACKSONVILLE FL, 32256, US
Phone (904) 646-6208
Fax
Business Location
P.O. BOX 551292
JACKSONVILLE FL, 32255, US
Phone
Fax
Toxanomy
Taxonomy Code 104100000X
License State
License Number
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According to our database, Vondarius Lane NPI is 1053798041, taxonomy code is 104100000X Vondarius Lane physically located at 5210 Belfort Rd, Jacksonville FL, 32256. NPI Number Vondarius Lane has the Individual type.

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1053798041 NPI number is provided on an as is basis without warranty of any kind. 1053798041 is maintained by the National Plan & Provider Enumeration System. The contents of Vondarius Lane are for informational purposes only.