Wiley, Tashondra Daniels

Wiley, Tashondra Daniels is an sole proprietor health care provider with primary practice located at 11537 Cricket Ct , Jacksonville FL 32218-3604. 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. Wiley, Tashondra Daniels can be contacted via phone (904) 449-8125.

Contact Information

Primary practice address
11537 Cricket Ct Jacksonville FL 32218-3604
Phone: (904) 449-8125
Fax: (904) 570-9947
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 1184111718
LBN Legal business name Wiley, Tashondra Daniels
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 19th, 2018
Last updated Apr 19th, 2018 - 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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