Individual
MS. JACQUELINE LAUREL DAVILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27571 S DIXIE HWY, NARANJA, FL 33032-8297
(786) 282-4392
Mailing address
1759 SW 138 AVE, MIAMI, FL 33175
(305) 496-5220
Taxonomy
Speciality
Code
Description
License number
State
2355S0801X
Speech-Language Assistant
Primary
2747
FL
Other
Enumeration date
02/03/2016
Last updated
06/16/2016
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