Individual provider · Type 1 NPI

Letara Reyona Mack

Prosthetics Case Management · Jacksonville, FL

NPI number 1871008094 Active

Practice location

1745 Whitman St
Jacksonville, FL 32210-1237

Call (904) 424-8590 Map

Specialties and licenses

TaxonomyCodeLicense
Prosthetics Case Management Primary 1744P3200XNone listed

Prosthetics Case Management: A case manager who provides services for patients with prosthetics.

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About NPI 1871008094

Letara Reyona Mack's National Provider Identifier is 1871008094, issued on Dec 11, 2017. The primary taxonomy on file is Prosthetics Case Management (1744P3200X), and the practice location is in Jacksonville, FL. The record was last updated on Dec 11, 2017.