Individual
JACQUELINE REDDICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
116 W NORTHSIDE DR, LAKE WALES, FL 33853-3018
(863) 852-4820
Mailing address
116 W NORTHSIDE DR, LAKE WALES, FL 33853-3018
(863) 852-4820
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/16/2019
Last updated
03/16/2019
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