Individual
JACQUELINE IRENE JANCEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CLC
Contact information
Practice address
310 WENDEL AVE, LITHIA, FL 33547-2079
(813) 520-8984
Mailing address
310 WENDEL AVE, LITHIA, FL 33547-2079
(813) 520-8984
Taxonomy
Speciality
Code
Description
License number
State
174N00000X
Lactation Consultant (Non-RN)
Primary
308480
FL
Other
Enumeration date
04/29/2019
Last updated
04/29/2019
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