Individual
QUERNECIA CALDWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4690 LIPSCOMB ST NE STE 5B, MELBOURNE, FL 32905-2929
(321) 327-2946
Mailing address
4690 LIPSCOMB ST NE STE 5B, MELBOURNE, FL 32905-2929
(321) 327-2946
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
05/15/2018
Last updated
05/15/2018
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