Individual
MISS JACQUELINE ANN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1419 ROYAL SAINT GEORGE DR, ORLANDO, FL 32828-8030
(407) 736-1842
Mailing address
1419 ROYAL SAINT GEORGE DR, ORLANDO, FL 32828-8030
(407) 736-1842
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
186785
FL
372600000X
Adult Companion
Primary
CNA 148312
FL
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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