Individual
KELLYANNE SAOIRSE JABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LM, CPM
Contact information
Practice address
7117 BLACHE CT, JACKSONVILLE, FL 32210-4868
(904) 990-3619
(904) 562-3402
Mailing address
1715 SPRING STAR CT, JACKSONVILLE, FL 32221-7638
(727) 967-0866
Taxonomy
Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
MW361
FL
Other
Enumeration date
04/19/2018
Last updated
04/19/2018
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