LETARA MACK

Specialist - Prosthetics Case Management

Active Individual
NPI: 1871008094

Practice Address

1745 WHITMAN ST
Jacksonville, FL 32210

Phone: (904) 424-8590

Specialties

Specialty Code Primary License
Specialist - Prosthetics Case Management 1744P3200X Yes -

Frequently Asked Questions

NPI 1871008094 is the National Provider Identifier for LETARA MACK, a Specialist - Prosthetics Case Management provider located in Jacksonville, FL. This NPI was enumerated on December 11, 2017.
LETARA MACK practices at 1745 WHITMAN ST, Jacksonville, FL 32210.

Quick Facts

NPI
1871008094
Type
Individual
Enumerated
Dec 11, 2017
Last Updated
Dec 11, 2017

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