Individual
MS. JORDYNN SURAYA BARLAGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
841 JIMMY ANN DR, DAYTONA BEACH, FL 32117-4583
(386) 506-7289
Mailing address
1357 WORTHINGTON DR, DELTONA, FL 32738-6136
(443) 977-8602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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