Individual
MRS. JISELLE LOUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12014 E COLONIAL DR, ORLANDO, FL 32826-4750
(407) 319-2108
Mailing address
1440 ORCHID LN, KISSIMMEE, FL 34744-2775
(407) 319-2108
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
Other
Enumeration date
06/06/2017
Last updated
06/06/2017
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